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

Mark J Tenholder MD PA

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1336281773

Mark J Tenholder MD PA is a Sports Medicine (Orthopaedic Surgery) Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1034 Mar Walt Dr Ste 100
Fort Walton Beach, FL 32547-6645
Phone: (850) 863-2153
Fax: (850) 863-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence ME89699 (FL)

Record details

NPI number1336281773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Tenholder — Physician · (850) 863-2153
NPI enumeratedFebruary 13, 2007
Last updated in NPPESMarch 12, 2008
Mailing address1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645

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