Individual
DR. JESSE SENGILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2111 SOLE MIA WAY, NORTH MIAMI, FL 33181-2492
(305) 482-5275
Mailing address
2111 SOLE MIA WAY, NORTH MIAMI, FL 33181-2492
(305) 482-5275
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME155650
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME155650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRN28043
FLORIDA MEDICAL LICENSE
FL
Enumeration date
06/06/2018
Last updated
01/12/2026
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