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

Mica Collins Booth

Individual provider Speech-Language Pathologist · NPI 1073835666

Mica Collins Booth is a Speech-Language Pathologist in Lady Lake, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

630 Griffin Ave
Lady Lake, FL 32159-8101
Phone: (352) 750-6619
Show map & directions

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

Additional practice locations (1)

  • 9377 Se 164th Pl, Summerfield, FL 34491-5898 — (229) 269-7251

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA10301 (FL)

Record details

NPI number1073835666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2010
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address630 Griffin Ave, Lady Lake, FL 32159-8101

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