Healthcare Provider Details

I. General information

NPI: 1437544194
Provider Name (Legal Business Name): VINCENT GACAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 N JUSTICE ST STE A
HENDERSONVILLE NC
28791-3455
US

IV. Provider business mailing address

709 N JUSTICE ST STE A
HENDERSONVILLE NC
28791-3455
US

V. Phone/Fax

Practice location:
  • Phone: 828-697-7377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2022-02130
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: