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

Emerald Coast Audiology PA

Organization Audiologist · NPI 1063521698

Emerald Coast Audiology PA is an Audiologist in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Racetrack Rd NE Ste E4
Fort Walton Beach, FL 32547-1867
Phone: (850) 315-4141
Fax: (850) 226-8242
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AY1018 (FL)

Record details

NPI number1063521698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carver Dethloff — Owner · (850) 315-4141
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867

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