Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gynnekia Marie Booth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518586403

Gynnekia Marie Booth is a Student in an Organized Health Care Education/Training Program in Palm Coast, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4873 Belle Terre Pkwy
Palm Coast, FL 32137-8696
Phone: (386) 864-8313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 269 Union St, Lynn, MA 01901-1314 — (781) 581-3900

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN25483 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518586403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

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