Healthcare Provider Details

I. General information

NPI: 1457261836
Provider Name (Legal Business Name): BREAKING LIMITS TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10505 NW 112TH AVE STE 22
MEDLEY FL
33178-1000
US

IV. Provider business mailing address

10505 NW 112TH AVE STE 22
MEDLEY FL
33178-1000
US

V. Phone/Fax

Practice location:
  • Phone: 786-267-7950
  • Fax:
Mailing address:
  • Phone: 786-267-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. CESAR VAZQUEZ
Title or Position: OWNER
Credential:
Phone: 786-267-7950