Active NPI
Cypress Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Tampa, FL
National Provider Identifier
1932080645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Lake Mary, FL
- NPI 1003553645
-
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1386381408
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.
-
- Gastroenterology Physician
- Lake Mary, FL
- NPI 1144110982
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.