Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Tack, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1023189529

Carl Tack, MD is an Interventional Radiology in Vero Beach, Florida. Qualified in 1981, 45 years ago. Licensed in Florida.

Years since qualifying
45
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 36th St
Vero Beach, FL 32960-4862
Phone: (772) 563-4711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 122629 (FL)

Record details

NPI number1023189529
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address22 Gateway Ln, Manorville, NY 11949-2527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated

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