Ms Lucille Idarola, CCC-SLP | |
2495 Sw Centerville Ave, Fort White, FL 32038-6110 | |
(352) 339-5753 | |
Not Available |
Full Name | Ms Lucille Idarola |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2495 Sw Centerville Ave, Fort White, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215123260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA6006 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Lucille Idarola, CCC-SLP 2495 Sw Centerville Ave, Fort White, FL 32038-6110 Ph: (352) 339-5753 | Ms Lucille Idarola, CCC-SLP 2495 Sw Centerville Ave, Fort White, FL 32038-6110 Ph: (352) 339-5753 |
Michele-ann Colena Shaw, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 257 Sw Pioneer Way, Fort White, FL 32038 Phone: 386-497-4326 | |
Joanna M Bagg, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 655 Sw Pathfinder Gln, Fort White, FL 32038 Phone: 352-301-9035 |