Organization
UC1, LLC
Active
Parent organization
UC ADMIN, LLC
Other names
1st Care Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
UC ADMIN, LLC
Authorized official
JAMES M LOWRANCE (ADMINISTRATOR)
(813) 684-1199
Entity
Organization
Contact information
Practice address
799 LUMSDEN RD, BRANDON, FL 33511
(813) 684-1199
(813) 464-2733
Mailing address
611 W AZEELE ST, TAMPA, FL 33606-2205
(813) 684-1199
(813) 464-2733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006639500
—
FL
Enumeration date
08/28/2012
Last updated
05/17/2013
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