| Entity Name: | BREAKING BARRIERS WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Mar 2024 (a year ago) |
| Document Number: | L24000106839 |
| Address: | 12960 NORTH CALUSA CLUB DRIVE, MIAMI, FL 33186 |
| Mail Address: | 12960 NORTH CALUSA CLUB DRIVE, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053145532 | 2024-08-28 | 2024-08-28 | 8350 NW 47TH ST, LAUDERHILL, FL, 333515535, US | 8350 NW 47TH ST, LAUDERHILL, FL, 333515535, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-281-5893 |
Authorized person
| Name | CAMILA PERTIERRA DELGADO |
| Role | MGR |
| Phone | 7862815893 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ELIZABETH | Agent | 12960 NORTH CALUSA CLUB DRIVE, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ELIZABETH | Manager | 12960 NORTH CALUSA CLUB DRIVE, MIAMI, F: 33186 |
| PERTIERRA DELGADO, CAMILA | Manager | 8350 NW 47TH ST, LAUDERHILL, FL 33351 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-01 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
