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MICA COLLINS BOOTH
NPI 1073835666
Speech-Language Pathologist in Lady Lake, FL

Active since February 23, 2010
630 GRIFFIN AVE, LADY LAKE, FL 32159(352) 750-6619 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mica Collins Booth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICA COLLINS BOOTH (NPI 1073835666) is an individual speech-language pathologist provider in Lady Lake, Florida, licensed in Florida (SA10301) and active in the NPI registry since February 2010. She maintains a secondary practice location in Summerfield.

NPPES Registry Identity

NPI1073835666
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMICA COLLINS BOOTH
Location Address630 GRIFFIN AVELady Lake, FL 32159-8101
Mailing Address630 Griffin AveLady Lake, FL 32159-8101 · (352) 750-6619
Phone(352) 750-6619
Sole ProprietorNo
Enumeration DateFebruary 23, 2010
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1073835666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA10301
Definition
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.
630 GRIFFIN AVE, Lady Lake, FL 32159
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Secondary Practice Location 1

Location 19377 SE 164th PlSummerfield, FL 34491-5898 · Phone (229) 269-7251

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LADY LAKE SPECIALTY CARE CENTER AND REHAB LLC
Skilled Nursing Facility
630 GRIFFIN AVE
LADY LAKE, FL 32159
Lake County (352) 750-6619
LADY LAKE NH, LLC
Skilled Nursing Facility
630 GRIFFIN AVE
LADY LAKE, FL 32159
Lake County (352) 750-6619
TERENCE JERMAINE STEPHENS PTA
Physical Therapy Assistant
630 GRIFFIN AVE
LADY LAKE, FL 32159
Lake County (352) 750-6619
SUNBELT STAFFING, INC
Skilled Nursing Facility
630 GRIFFIN AVE
LADY LAKE, FL 32159
Lake County (352) 750-6619
MICHAEL ALAN GREEN PA-C
Physician Assistant
630 GRIFFIN AVE
LADY LAKE, FL 32159
Lake County (872) 231-3162
SUNSHINE SURGICAL AND WOUND CARE LLC
Surgery
630 GRIFFIN AVE
LADY LAKE, FL 32159
Lake County (877) 850-8762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mica Booth's NPI number?

The NPI number for Mica Booth is 1073835666. It was assigned to this individual provider in the NPPES registry on February 23, 2010.

Where is Mica Booth located?

Mica Booth practices at 630 Griffin Ave, Lady Lake, FL 32159. The listed phone number is (352) 750-6619.

What is Mica Booth's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mica Booth was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.