Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert Matthew Tack, PA-C

Individual provider Physician Assistant · NPI 1003289455

Mr. Robert Matthew Tack, PA-C is a Physician Assistant in Vero Beach, Florida. Qualified in 2015, 11 years ago. Practices with Indian River Health Services Inc, a 332-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 36th St
Vero Beach, FL 32960-4862
Phone: (772) 567-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109299 (FL)

Record details

NPI number1003289455
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2015
Last updated in NPPESFebruary 4, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Indian River Health Services Inc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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