Emerald Coast Audiology Pa

LBN: Emerald Coast Audiology Pa
Emerald Coast Audiology Pa is an health care organization with primary practice located at 11 Racetrack Rd Ne Ste E4 , Fort Walton Beach FL 32547-1867. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. Emerald Coast Audiology Pa can be contacted via phone (850) 315-4141, or through Dethloff, Carver Gray via phone (850) 315-4141.

Contact Information

Primary practice address
11 Racetrack Rd Ne Ste E4 Fort Walton Beach FL 32547-1867
Phone: (850) 315-4141
Fax: (850) 226-8242
Website:
Map and Directions
Authorized official contact:
Name: Dethloff, Carver Gray AUD
Phone: (850) 315-4141

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1018 Florida

Profile Details

NPI number 1063521698
LBN Legal business name Emerald Coast Audiology Pa
DBA Doing business as
Authorized official Dethloff, Carver Gray AUD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063521698 NPPES
Florida MEDICAID 600389300
Florida Other S9298

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