IndividualActive
Carl Tack, MD
NPI 1023189529 · Vascular & Interventional Radiology Physician · Vero Beach, FL
Provider details
- NPI number
- 1023189529
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 122629 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1000 36th St
Vero Beach, FL 32960-4862
Phone: (772) 563-4711
Approximate (ZIP-level) locationGet directions
Mailing address
22 Gateway Ln
Manorville, NY 11949-2527
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.