MEDICARE: ALIGN AESTHETIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1740149640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGN AESTHETIC CENTER

Provider Business Mailing Address
First Line	:	595 S FEDERAL HWY STE 130
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-6096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 S FEDERAL HWY STE 130
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-6096
Country	:	US
Telephone Number	:	954-281-2368
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JONATHAN COOK
Credential	:	MD
Telephone Number	:	954-281-2369

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/23/2026

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Directions to “ALIGN AESTHETIC CENTER ” Practice Location

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