Healthcare Provider Details

I. General information

NPI: 1740149640
Provider Name (Legal Business Name): ALIGN AESTHETIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 S FEDERAL HWY STE 130
BOCA RATON FL
33432-6096
US

IV. Provider business mailing address

595 S FEDERAL HWY STE 130
BOCA RATON FL
33432-6096
US

V. Phone/Fax

Practice location:
  • Phone: 954-281-2368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN COOK
Title or Position: OWNER
Credential: MD
Phone: 954-281-2369