MR. Robert Matthew Tack, PA-C

NPI #1003289455 in Vero Beach, Florida

Provider Information

NPI Number: 1003289455
Entity Type: Individual
Name: MR. Robert Matthew Tack, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 6, 2015
Last Updated: Feb 4, 2016

Practice Location

Address: 1000 36TH ST
City: Vero Beach
State: Florida
ZIP Code: 32960-4862
Phone: (772) 567-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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