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JACK FRITZKE
NPI 1104502293
Student in an Organized Health Care Education/Training Program in Winter Haven, FL

Active since June 23, 2023
200 AVENUE F NE, WINTER HAVEN, FL 33881(863) 293-1121 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Fritzke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK FRITZKE (NPI 1104502293) is an individual student in an organized health care education/training program in Winter Haven, Florida and active in the NPI registry since June 2023. He maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1104502293
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK FRITZKE
Location Address200 AVENUE F NEWinter Haven, FL 33881-4193
Mailing Address200 Avenue F NeWinter Haven, FL 33881-4193
Phone(863) 293-1121
Sole ProprietorNo
Enumeration DateJune 23, 2023
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1104502293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 AVENUE F NE, Winter Haven, FL 33881
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Secondary Practice Location 1

Location 1700 Cooper AveSaginaw, MI 48602-5383 · Phone (989) 583-0000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED LARKIN DO
Student in an Organized Health Care Education/Training Program
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 280-6080
DONALD RICHARD NETTLOW JR. MD
Anesthesiology
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1121
DR. DONALD I GALE M.D.
Specialist
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1121
MRS. AMANDA HILL DILLINGHAM CRNA
Nurse Anesthetist, Certified Registered
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1121
FERNANDO DAGER C-AA
Anesthesiologist Assistant
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1121
MRS. CANDY LYNN BRIDGES APRN
Nurse Practitioner (Family)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1191
DANNY E KEATON LMHC
Counselor (Mental Health)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1121
DR. KARTHIC CHANDRAN MD
Internal Medicine (Interventional Cardiology)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Polk County (863) 293-1121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Fritzke's NPI number?

The NPI number for Jack Fritzke is 1104502293. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Jack Fritzke located?

Jack Fritzke practices at 200 Avenue F NE, Winter Haven, FL 33881. The listed phone number is (863) 293-1121.

What is Jack Fritzke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Fritzke was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.