Provider Demographics
NPI:1003553645
Name:CYPRESS AMBULATORY SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:CYPRESS AMBULATORY SURGERY CENTER, LLC
Other - Org Name:CURRENCY CIRCLE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:813-477-5580
Mailing Address - Street 1:511 W BAY ST STE 400
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2700
Mailing Address - Country:US
Mailing Address - Phone:813-819-0309
Mailing Address - Fax:386-668-2228
Practice Address - Street 1:835 CURRENCY CIR STE 1021
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2293
Practice Address - Country:US
Practice Address - Phone:407-749-6656
Practice Address - Fax:386-668-2228
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GASTRO MD, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-16
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical