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

Carver Gray Dethloff, AUD

Individual provider Audiologist · NPI 1194700922

Carver Gray Dethloff, AUD is a Qualified Audiologist in Fort Walton Beach, Florida. Qualified in 2003, 23 years ago. Practices with Emerald Coast Audiology PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2005
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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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
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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 number1194700922
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Emerald Coast Audiology Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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