Organization Active NPI

Cypress Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1932080645
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CYPRESS AMBULATORY SURGERY CENTER, LLC
Practice address
11911 N Dale Mabry Hwy
Tampa, FL 33618-3507
Phone
(727) 420-1347
Fax
(813) 200-2790
NPI assigned
Sep 9, 2025
Organization subpart
Yes
Parent organization
GASTRO MD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Charles Marion Davis III
Title
Chief Operating Officer
Phone
(813) 477-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11911 N Dale Mabry Hwy
Tampa, FL 33618-3507

Mailing address

2023 W Platt St
Tampa, FL 33606-1736
Phone (813) 819-0309

Other names 1

  • Cypress Tampa Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1932080645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061736",
            "telephone_number": "813-819-0309",
            "fax_number": "813-200-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183507",
            "telephone_number": "727-420-1347",
            "fax_number": "813-200-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTRO MD, LLC",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS III",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-477-5580"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Tampa Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.