NPIMap

Organization Active NPI

Sun City Center Ambulatory Surgery Center, LLC

Doing business as Sun City ASC

  • Ambulatory Surgical Clinic/Center
  • Ruskin, FL
National Provider Identifier
1396203238
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SUN CITY CENTER AMBULATORY SURGERY CENTER, LLC
Doing business as
Sun City ASC
Practice address
916 Cypress Village Blvd
Ruskin, FL 33573-6810
Phone
(813) 426-8263
Fax
(813) 922-4247
NPI assigned
Mar 11, 2019
Last updated
Sep 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracie GariNPI 1659315190
Title
Chief Administrative Officer
Phone
(813) 549-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

916 Cypress Village Blvd
Ruskin, FL 33573-6810

Mailing address

PO Box 628778
Orlando, FL 32862-8778
Phone (813) 549-2134

Other names 1

  • Sun City ASC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104002444 FL Part B Supplier - Ambulatory Surgical Center 6103158548 Practice locations: Ruskin, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396203238. Details of each certification follow.

Hospital certification: CCN 100343

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SUN CITY CENTER AMBULATORY SURGERY CENTER, LLC
Certification status
Terminated Voluntary: merger or closure, Feb 13, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jul 22, 2020
Last certification
Jul 22, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
916 Cypress Village Blvd.
Ruskin, FL 33573

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sun City Center Ambulatory Surgery CenterCCN 10C0001662
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2175839Sun City Center Ambulatory Surgery Center LLC916 Cypress Village Blvd, Ruskin, FL 33573Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1396203238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628778",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328628778",
            "telephone_number": "813-549-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736810",
            "telephone_number": "813-426-8263",
            "fax_number": "813-922-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY CENTER AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "GARI",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun City ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.