Healthcare Provider Details

I. General information

NPI: 1336074780
Provider Name (Legal Business Name): ESLAND BERJUSTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 N MILITARY TRL STE A
WEST PALM BEACH FL
33409-4769
US

IV. Provider business mailing address

373 RIVER BLUFF LN
ROYAL PALM BEACH FL
33411-4217
US

V. Phone/Fax

Practice location:
  • Phone: 561-880-9880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN11048487
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11048487
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberAPRN11048487
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: