Robert M. Tack, PA-C
Physician Assistant · Vero Beach, FL
UnclaimedPA-CNPI 1003289455
- Primary taxonomy
- 363A00000X
- Enumerated
- 2015-11-06
- Practice location
- Vero Beach, FL
- Last NPPES update
- 2016-02-04
State licenses
- FL · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.