Robert Matthew Tack, PA-C

Physician Assistant · Vero Beach, FL

Individual Active NPI

NPI number 1003289455

Practice location

1000 36TH St
Vero Beach, FL 32960-4862
Phone
(772) 567-4311

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NPI record

NPI
1003289455
Entity type
Individual (Type 1)
Enumeration date
November 6, 2015
Last updated
February 4, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9109299 FL

About Robert Tack

Robert Matthew Tack, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1000 36TH St, Vero Beach, FL 32960-4862. The NPI number 1003289455 was assigned on November 6, 2015 and the record was last updated on February 4, 2016.

Robert Tack lists a license in the registry: #PA9109299 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Matthew Tack, PA-C?

The NPI number is 1003289455.

What is the phone number of Robert Tack?

The phone number listed for the practice location is (772) 567-4311.

Where is Robert Tack located?

1000 36TH St, Vero Beach, FL 32960-4862.

What is the taxonomy code for Robert Tack?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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