Provider Demographics
NPI:1962299453
Name:SERENEVILLE HEALTH LLC
Entity type:Organization
Organization Name:SERENEVILLE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SADAF
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-213-8377
Mailing Address - Street 1:300 E UNIVERSITY AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-3460
Mailing Address - Country:US
Mailing Address - Phone:352-922-9000
Mailing Address - Fax:
Practice Address - Street 1:300 E UNIVERSITY AVE STE 180
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-3460
Practice Address - Country:US
Practice Address - Phone:352-922-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty