Active NPI 1215123260 Individual Practitioner Female Practitioner

Lucille Idarola , CCC-SLP

Speech-Language Pathologist • Fort White, FL

Professional Overview & Biography Verified Profile Summary

Lucille Idarola, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort White, FL. Practice services are available at 2495 SW CENTERVILLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2495 Sw Centerville Ave

Fort White, FL 320386110

Telephone 3523395753

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort White, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 16.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Fort White, FL (11640 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA6006

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 23, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2007

Registered at 2495 SW CENTERVILLE AVE, FORT WHITE, FL 320386110 (Tel: 3523395753)

📍

Updated Business Mailing Address September 23, 2007

Registered at 2495 SW CENTERVILLE AVE, FORT WHITE, FL 320386110 (Tel: 3523395753)

👤

Provider Name / Credentials Updated September 23, 2007

Recorded as LUCILLE IDAROLA, CCC-SLP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2007

Speech-Language Pathologist (License #SA6006 in FL)

🟢

Initial NPI Registration & Enumeration September 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1215123260

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2007

Last Update: September 23, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2495 Sw Centerville Ave

Fort White, FL 320386110

Phone: 3523395753

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.