Healthcare Provider Details

I. General information

NPI: 1427935014
Provider Name (Legal Business Name): ALUMA WELLNESS GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 BRUTON BLVD STE A
ORLANDO FL
32805-6608
US

IV. Provider business mailing address

14422 SHORESIDE WAY STE 110189
WINTER GARDEN FL
34787-4938
US

V. Phone/Fax

Practice location:
  • Phone: 407-476-1498
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SHEENA VARGHESE
Title or Position: OWNER
Credential:
Phone: 732-491-7895