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NPI Code Detail

MEDICARE: CYPRESS AMBULATORY SURGERY CENTER, LLC

MEDICARE: CYPRESS AMBULATORY SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386381408
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYPRESS AMBULATORY SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 2863 WELLNESS AVE
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8396
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2863 WELLNESS AVE
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8396
Country : US
Telephone Number : 386-297-7239
Fax Number : 386-297-7248
Authorized Official
Title or Position : OFFICER/AO
Name : COLLIN LEMAISTRE
Credential :
Telephone Number : 214-213-0732
Provider Enumeration Date : 05/19/2022
Last Update Date : 12/19/2025

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