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MARK J. TENHOLDER, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MARK J. TENHOLDER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Apr 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 01 Dec 2021 (4 years ago)
Document Number: P04000069995
FEI/EIN Number 200966078
Address: 1034 MAR WALT DR, STE 310, FORT WALTON BEACH, FL, 32547
Mail Address: 1034 MAR WALT DR, STE 310, FORT WALTON BEACH, FL, 32547
ZIP code: 32547
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TENHOLDER MARK J Director 4507 Olde Plantation Place, DESTIN, FL, 32541
TENHOLDER MARK J Agent 1034 MAR WALT DR, FORT WALTON BEACH, FL, 32547

National Provider Identifier

NPI Number:
1336281773

Authorized Person:

Name:
MARK J TENHOLDER
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
8508632885

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-12-01 - -
REGISTERED AGENT NAME CHANGED 2021-12-01 TENHOLDER, MARK JMD, PA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-08 1034 MAR WALT DR, STE 310, FORT WALTON BEACH, FL 32547 -
CHANGE OF MAILING ADDRESS 2009-01-08 1034 MAR WALT DR, STE 310, FORT WALTON BEACH, FL 32547 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-08 1034 MAR WALT DR, STE 310, FORT WALTON BEACH, FL 32547 -

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-02
REINSTATEMENT 2021-12-01
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-02-04

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
30437.00
Total Face Value Of Loan:
30437.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
30437.00
Total Face Value Of Loan:
30437.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$30,437
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$30,437
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$30,715.16
Servicing Lender:
Hancock Whitney Bank
Use of Proceeds:
Payroll: $30,437

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Date of last update: 02 Aug 2025

Sources: Florida Department of State