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EMERALD COAST AUDIOLOGY PA
NPI 1063521698
Audiologist in Fort Walton Beach, FL

Active since August 29, 2006
11 RACETRACK RD NE STE E4, FORT WALTON BEACH, FL 32547(850) 315-4141(850) 226-8242 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Audiology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD COAST AUDIOLOGY PA (NPI 1063521698) is a healthcare organization registered as an audiologist in Fort Walton Beach, Florida and active in the NPI registry since August 2006. The organization lists Carver Gray Dethloff, Owner, as its authorized official.

NPPES Registry Identity

NPI1063521698
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameEMERALD COAST AUDIOLOGY PA
Location Address11 RACETRACK RD NE STE E4Fort Walton Beach, FL 32547-1867
Mailing Address11 Racetrack Rd Ne Ste E4Fort Walton Beach, FL 32547-1867 · (850) 315-4141 · Fax (850) 226-8242
Phone(850) 315-4141
Fax(850) 226-8242
Organization SubpartNo
Authorized OfficialCarver Gray DethloffOwner · (850) 315-4141
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1063521698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in FL · AY1018
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
11 RACETRACK RD NE STE E4, Fort Walton Beach, FL 32547
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Other Identifiers 2

Medicaid600389300FL
OtherS9298FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARVER GRAY DETHLOFF AU.D.
Audiologist
11 RACETRACK RD NE STE E4
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 315-4141
LEAH QUINN LEWIS AU.D.
Audiologist-Hearing Aid Fitter
11 RACETRACK RD NE STE E4
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 315-4141
DR. KATHRYN ALBA AU.D.
Audiologist
11 RACETRACK RD NE STE E4
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 315-4141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Coast Audiology PA's NPI number?

The NPI number for Emerald Coast Audiology PA is 1063521698. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Emerald Coast Audiology PA located?

Emerald Coast Audiology PA is located at 11 Racetrack Rd NE Ste E4, Fort Walton Beach, FL 32547. The listed phone number is (850) 315-4141.

What is Emerald Coast Audiology PA's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Audiology PA was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.