| Entity Name: | WEST COAST SURGICAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WEST COAST SURGICAL GROUP, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Sep 2011 (14 years ago) |
| Date of dissolution: | 03 Apr 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Apr 2019 (6 years ago) |
| Document Number: | L11000108202 |
| FEI/EIN Number |
453677183
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5953 17TH AVE WEST, BRADENTON, FL, 34209 |
| Mail Address: | 5953 17TH AVE WEST, BRADENTON, FL, 34209 |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679847529 | 2012-02-23 | 2018-01-24 | PO BOX 14731, BRADENTON, FL, 342804731, US | 5953 17TH AVE W, BRADENTON, FL, 342097836, US | |||||||||||||||||||||||
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| Phone | +1 941-545-4002 |
| Fax | 9417486195 |
| Phone | +1 941-746-8127 |
| Fax | 9417468127 |
Authorized person
| Name | DR. PAIGE KOENIG PENNEBACKER |
| Role | MD |
| Phone | 9417610500 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME62365 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PENNEBACKER PAIGE K | Manager | 5953 17TH AVE WEST, BRADENTON, FL, 34209 |
| BLALOCK WALTERS, P.A. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-03 | - | - |
| LC AMENDMENT AND NAME CHANGE | 2014-02-03 | WEST COAST SURGICAL GROUP, PLLC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-03 | 5953 17TH AVE WEST, BRADENTON, FL 34209 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-03 | 802 11TH STREET WEST, BRADENTON, FL 34205 | - |
| CHANGE OF MAILING ADDRESS | 2014-02-03 | 5953 17TH AVE WEST, BRADENTON, FL 34209 | - |
| REGISTERED AGENT NAME CHANGED | 2014-02-03 | BLALOCK WALTERS, P.A. | - |
| LC AMENDMENT | 2011-11-18 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-03 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-15 |
| LC Amendment and Name Change | 2014-02-03 |
| ANNUAL REPORT | 2014-01-21 |
| ANNUAL REPORT | 2013-01-23 |
| ANNUAL REPORT | 2012-07-16 |
| LC Amendment | 2011-11-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
