Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073835666 Individual Practitioner Female Practitioner

Mica Collins Booth

Speech-Language Pathologist • Lady Lake, FL

Professional Overview & Biography Verified Profile Summary

Mica Booth is a registered healthcare professional specializing in Speech-Language Pathologist in Lady Lake, FL. Practice services are available at 630 GRIFFIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 Griffin Ave

Lady Lake, FL 321598101

Telephone 3527506619
Associated Practice Facility / Clinic
🏢 Lady Lake Nh, Llc Facility NPI 1326043050

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lady Lake, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Lady Lake, 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

CMS Verified: 2025-04-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA10301

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.

Secondary Practice Locations

9377 Se 164th Pl

Summerfield, FL 344915898

Phone: 2292697251

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Terence Stephens , PTA

Physical Therapy Assistant

NPI 1326896721

Physical Therapist Assistant

Carol Jackson , OTA

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1386370351

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 24, 2025

Registered at 630 GRIFFIN AVE, LADY LAKE, FL 321598101 (Tel: 3527506619)

📍
Updated Business Mailing Address April 24, 2025

Registered at 630 GRIFFIN AVE, LADY LAKE, FL 321598101 (Tel: 3527506619)

👤
Provider Name / Credentials Updated April 24, 2025

Recorded as MICA BOOTH

NPI Profile Active February 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2010

Registered at 245 CAHABA VALLEY PKWY STE 200, PELHAM, AL 351242217 (Tel: 2059426820)

📍
Updated Business Mailing Address February 23, 2010

Registered at 1201 SE 24TH RD, OCALA, FL 344716009

👤
Provider Name / Credentials Updated February 23, 2010

Recorded as MICA MINK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2010

Speech-Language Pathologist (License #SA10301 in FL)

🟢
Initial NPI Registration & Enumeration February 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073835666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2010
Last Update: April 24, 2025
Sole Proprietor: No

Mailing Address

630 Griffin Ave

Lady Lake, FL 321598101

Phone: 3527506619

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.