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

West Coast Surgical Group PLLC

Organization Surgery Physician · NPI 1679847529

West Coast Surgical Group PLLC provides Surgery Physician services in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5953 17th Ave W
Bradenton, FL 34209-7836
Phone: (941) 746-8127
Fax: (941) 746-8127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME62365 (FL)

Record details

NPI number1679847529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paige Pennebacker — Md · (941) 761-0500
NPI enumeratedFebruary 23, 2012
Last updated in NPPESJanuary 24, 2018
Mailing addressPo Box 14731, Bradenton, FL 34280-4731

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