Carver Gray Dethloff (NPI# 1194700922, PAC ID# 5092816942) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1194700922 |
| PAC ID by PECOS | 5092816942 |
| Professional Enrollment ID | I20070726000485 |
| Full Name | Carver Gray Dethloff |
| Address |
1032 Mar Walt Dr Suite 100 Fort Walton Beach FL 32547-6661 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1032 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6661 |
| Street Address |
1032 MAR WALT DR SUITE 100 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F Stiles Iii | Urology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Emmanuel Jean-jacques | Physician Assistant | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Stephanie L Caywood | Obstetrics/gynecology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Beibei Oelrich | Urology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Eric L Sandwith | Thoracic Surgery | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Richard J Barnett | Otolaryngology | 1032 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6661 | |
| John R Larson | Physician Assistant | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Joseph Thomas Early | Physician Assistant | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Joseph Siefker | Otolaryngology | 1032 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6661 | |
| Matthew T Stringer | Urology | Northwest Florida Multispecialty Physicians LLC | 1032 Mar Walt Dr, Suite 230, Ft. Walton Beach, FL 32547-6663 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | FORT WALTON BEACH + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Carver Gray Dethloff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.