There are a few different Bluetooth profiles which handle audio, but they all work in a very similar way. There are two connections open between the client (usually a phone) and the server (some kind of audio device such as a speaker or car entertainment system).
The first of these is an Rfcomm channel which handles commands between the devices. Rfcomm is essentially a serial connection emulated over Bluetooth and these commands are often a mixture of AT commands from the world of modems and other commands for associated functionality (think phone book contacts, track names etc).
The second channel is a low level SCO (Synchronous Connection-Oriented) connection which is better suited to real-time audio data. Depending on the profile this may be used for one-way (audio) or two-way (hands-free etc) audio.
32feet.NET has only support for Rfcomm out of the box. This means it is possible to establish a connection to a headset device and even do things like capture button presses and send rings but it does not support opening an audio channel. Also if you connect to a headset device or similar rather than use the platform’s built in support you’ll block the device from using its native functionality. Mobile devices have support and drivers for headset/hands-free etc and this will go through the normal audio APIs on the platform so there is rarely a need to try and interfere with this.
If you want your app to play audio over Bluetooth then pair the device with the OS and just play audio and the system will handle it for you.