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 is a Surgery Physician 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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