Individual
CARVER GRAY DETHLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
11 RACETRACK RD NE STE E4, FORT WALTON BEACH, FL 32547-1867
(850) 315-4141
(850) 226-8242
Mailing address
11 RACETRACK RD NE STE E4, FORT WALTON BEACH, FL 32547-1867
(850) 315-4141
(850) 226-8242
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600389300
—
FL
01
—
S9298
BCBS
FL
Enumeration date
12/14/2005
Last updated
07/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us