MEDICARE: ERIC JOTCH

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	261QR1100X	Research Clinic/Center		FL

General Provider Information

NPI Number	:	1639025661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC JOTCH

Provider Business Mailing Address
First Line	:	19508 LAKE OSCEOLA LN
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-1707
Country	:	US
Telephone Number	:	813-895-0031
Fax Number	:

Provider Business Practice Location Address
First Line	:	13000 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-4745
Country	:	US
Telephone Number	:	813-972-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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