Organization
CYPRESS AMBULATORY SURGERY CENTER, LLC
Active
Parent organization
GASTRO MD, LLC
Other names
Cypress Tampa Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTRO MD, LLC
Authorized official
CHARLES MARION DAVIS III (CHIEF OPERATING OFFICER)
(813) 477-5580
Entity
Organization
Contact information
Practice address
11911 N DALE MABRY HWY, TAMPA, FL 33618-3507
(727) 420-1347
(813) 200-2790
Mailing address
2023 W PLATT ST, TAMPA, FL 33606-1736
(813) 819-0309
(813) 200-2790
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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