MEDICARE: KARA LEVERETTE WILLIAMS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	23597	FL
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	ME134068	FL
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	105643	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487005864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA LEVERETTE WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	201 N CLYDE MORRIS BLVD STE 200
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-2765
Country	:	US
Telephone Number	:	386-254-4165
Fax Number	:	386-254-4339

Provider Business Practice Location Address
First Line	:	303 N CLYDE MORRIS BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-2709
Country	:	US
Telephone Number	:	386-425-0141
Fax Number	:	386-254-7545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	04/29/2026

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Directions to “ KARA LEVERETTE WILLIAMS M.D.” Practice Location

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