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
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1932080645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYPRESS AMBULATORY SURGERY CENTER, LLC

Provider Business Mailing Address
First Line	:	2023 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-1736
Country	:	US
Telephone Number	:	813-819-0309
Fax Number	:	813-200-2790

Provider Business Practice Location Address
First Line	:	11911 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-3507
Country	:	US
Telephone Number	:	727-420-1347
Fax Number	:	813-200-2790

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	CHARLES MARION DAVIS III
Credential	:
Telephone Number	:	813-477-5580

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

Similar Medicare Providers

1023047677 — DR. JEFFREY MARC GILFOR MD
Practice Location Address:

11911 N DALE MABRY HWY
TAMPA, FL
33618-3507

Practice Phone: 813-265-5300
Practice Fax:

1023305141 — BRITNI PARROTT CRNA
Practice Location Address:

11911 N DALE MABRY HWY
TAMPA, FL
33618-3507

Practice Phone: 727-937-6020
Practice Fax: 866-665-2702

1538664644 — TAMPA BAY SURGERY CENTER ASSOCIATES LTD
Practice Location Address:

11911 N DALE MABRY HWY
TAMPA, FL
33618-3507

Practice Phone: 813-961-8500
Practice Fax: 813-902-7307

1568425809 — FLORIDA MEDICAL CLINIC, LLC
Practice Location Address:

17401 COMMERCE PARK BLVD STE 107
TAMPA, FL
33647-3507

Practice Phone: 813-782-8311
Practice Fax:

1578698056 — HILLSBOROUGH COUNTY PUBLIC SCHOOLS
Practice Location Address:

901 E KENNEDY BLVD
TAMPA, FL
33602-3507

Practice Phone: 813-272-4000
Practice Fax: 813-272-4007

1083740179 — HILLSBOROUGH COUNTY PUBLIC SCHOOLS
Practice Location Address:

901 E KENNEDY BLVD
TAMPA, FL
33602-3507

Practice Phone: 813-272-4000
Practice Fax: 813-272-4007

Directions to “CYPRESS AMBULATORY SURGERY CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.