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Search › Florida › 235Z00000X

Mica Booth

NPI 1073835666 · on the registry since 2010

Practice

Address
630 Griffin Ave
Lady Lake, FL 32159
Phone
(352) 750-6619
Organisation at this address
Lady Lake Nh, Llc
Sunbelt Staffing, Inc
Sunshine Surgical And Wound Care Llc
Lady Lake Specialty Care Center And Rehab Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 9377 Se 164th Pl, Summerfield, FL

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida