PRIMARY CARE

Your Choice In Healthcare

Your Health is Our Primary Concern

Healthcare for you and your family

Treasure Coast Primary Care offers the best in primary care and internal medicine, woman’s health, and safe anti-aging and aesthetics for both men and women. Whether you just want a check-up or you need a primary care office to manage complex medical issues, Treasure Coast Primary Care is the place for you and your family. Come see us at one of our three locations in Stuart, Port St. Lucie and Tradition.

Trusted in the community

Since 2006 we have built a long standing relationship in the community. Whether its a small issue that requires just a touch of professional care or a serious emergency needing the best medical attention available, we’ll always be there to provide health care you can trust.

On-Site Services Available

Get your results while you wait or in just a few days.

Wellness Exams

Annuals for Men & Women

Health Management

Continued Care and Prevention

Lab Diagnostics

Fast lab results and monitoring

Digital X-Rays

Advanced, Accurate Imaging

WELLNESS EXAMS FOR WOMEN

Well woman exams are the foundation for wellness, health promotion and disease identification and management throughout your life.  A periodic well woman exam for all ages is not just about good medical care, but it also gives you the opportunity to learn more about beneficial health habits, counseling and community support services as well as an overall view of the best ways to take care of yourself and your family for a lifetime.

The Well Women Exam basically is performed in four parts: the health historyphysical exam including a breast exam, pelvic exam and an assessment for other health problems. Always remember to discuss all healthcare issues with your care provider—your best source for advice on healthy living.

Midlife and Beyond

Since many women see gynecologists and do not have a primary care provider, women’s healthcare providers often will look for signs of other health problems during the well woman exam. This is particularly important in women who have reached midlife and beyond. By screening for symptoms of heart disease and stroke, cancer, diabetes, thyroid, liver and kidney problems, your provider can refer any problems for appropriate follow-up care.

 


APPOINTMENT REQUEST

If you’d like to request an appointment time you can submit an Appointment Request to receive a call back. We will confirm with you the soonest we can get you in.

APPOINTMENT REQUEST PAGE

Health Maintenance

The physical exam is a head-to-toe exam that gives clues to any health problems. Blood pressure, weight, urine testing and a check for anemia often are done. Your care provider likely will examine eyes, ears, nose, mouth, thyroid gland, lungs, lymph nodes, heart, breasts, abdomen, reflexes, skin and bone and spine. Any problems that are noted may need referral to another care provider. Eye and dental care is a must for overall health, too, and you should seek routine care for these health issues.

WELLNESS EXAMS FOR MEN

These visits focus on preventive care and may include vaccinations, screenings to check for diseases, and education and counseling to help you make informed health decisions. Your height, weight, and body mass index (BMI) will likely be checked at every wellness visit. Be sure to talk with your healthcare provider about your diet and physical activity levels. Additional tests and exams may be needed to manage any chronic illnesses you may have. Your healthcare provider may also check your testicles for lumps, a change in size, and tenderness. These could be signs of a problem.

Keep in mind that this checklist is not comprehensive, so it’s important to speak with your healthcare provider about your specific health needs. For example, ask about what tests he or she recommends, and how often you should get screened or have follow-up appointments. And be sure to share your medical and family history, personal preferences, and lifestyle with your provider to help him or her develop a preventative health plan that is tailored for you.

WHAT DOES THE EXAM ENTAIL?

  • Cholesterol test: Most men are advised to begin regular cholesterol checks at age 35. If you have a history of or genetic predisposition to diabetes or heart disease, you may need to begin cholesterol checks as early as age 20.
  • Prostate cancer screening: In general, using the prostate-specific antigen test and digital rectal exam for prostate cancer screening is not recommended, so talk to your doctor. Screening may be advised for some men starting at age 50. It may start as early as age 40 for those with a strong family history.
  • Testicular exam: Your doctor may wish to check each testicle for signs of a problem, including lumps, changes in size, and tenderness.
  • Abdominal Aortic Aneurysm screening: This is a one-time screening test done with an ultrasound. It is recommended for all men ages 65-75 who have ever smoked.

 


APPOINTMENT REQUEST

If you’d like to request an appointment time you can submit an Appointment Request to receive a call back. We will confirm with you the soonest we can get you in.

APPOINTMENT REQUEST PAGE

Common Yet Crucial:

Medical Exams for Men

Fact: men are 50% more likely to die of heart disease than woman. That’s why it is especially important for men to have their blood pressure, cholesterol, and heart rate measured annually. These tests can foresee heart problems down the road and allow men to make the lifestyle changes necessary to correct the problems.

HORMONE REPLACEMENT THERAPY FOR WOMEN

 

What is hormone replacement therapy?

HRT is a treatment used to augment the body’s natural hormone levels, either in the form of estrogen-alone therapy (ET), for women who have had a hysterectomy (or surgical menopause) or as estrogen with progesterone therapy (EPT), for women who experience menopause naturally at midlife.

Why replace hormones?

In addition to thickening the lining of the uterus to prepare it for egg implantation, estrogen — in tandem with progesterone — serves many functions.

It helps the body to process calcium (important for the strengthening of bone), aids in maintaining healthy cholesterol levels, and keeps the vagina healthy.

With the onset of menopause, however, the amount of natural estrogen and progesterone the ovaries produce drops sharply. That, in turn, can lead to such symptoms as hot flashes, night sweats, vaginal dryness, painful intercourse, mood changes, and sleep problems.

It also can boost the risk of osteoporosis. By replenishing the body’s estrogen supply, HRT can help relieve menopause symptoms and guard against osteoporosis.

 


For more information or to schedule a consult:

VISIT OUR HORMONE THERAPY PAGE

Thinking about Hormone Therapy?

Who should consider HRT?

Women with moderate to severe menopausal symptoms, as well as those with a family history of osteoporosis, are candidates for hormone replacement therapy.

Who should not consider HRT?

Women with breast cancer, heart disease, liver disease, or a history of blood clots, as well as women without menopausal symptoms, are not candidates for hormone replacement therapy.

HORMONE THERAPY BENEFITS

We offer a full spectrum of hormone replacement therapy programs that will counteract your declining hormone levels to make you feel brand new again. Each hormone replacement plan is meticulously designed around your current medical history and lifestyle to provide the best possible results. Thanks to this personalized approach, we’re helping patients receive the following benefits:

  • More muscle mass and strength
  • Higher sex drive
  • Increased endurance and energy
  • Better cognitive function
  • Elevated mood
  • Reduced risk of cardiovascular disease

 

What is Testosterone Therapy?

In a nutshell, testosterone therapy is a safe and effective way to “turn back the clock,” and return your testosterone levels to what they were when you were younger. Will that literally make you 20 again? No, but testosterone therapy has many positive benefits for men over 40.

 

 


For more information or to schedule a consult:

VISIT OUR HORMONE THERAPY PAGE

The Benefits of Testosterone Therapy

If you have low testosterone, also known as Low-T, andropause, or “male menopause,” you will feel its effects in four aspects of your life. Lack of testosterone impacts your physical wellbeing, your ability to perform sexually, your cognitive abilities and your emotional states. If you have low testosterone you may be experiencing:

  • Weight gain and muscle loss
  • Fatigue, tiredness and a general sense of weakness
  • Sexual issues including loss of libido and/or sexual dysfunction
  • Disturbed sleep
  • Memory loss, and/or other cognitive difficulties

CHRONIC HEALTH MANAGEMENT

We take an integrated care approach to managing illness which includes screenings, check-ups, monitoring and coordinating treatment, and patient education. It can improve your quality of life while reducing your health care costs if you have a chronic disease by preventing or minimizing the effects of a disease.

What is a chronic condition?
There are many definitions of “chronic condition,” some more expansive than others. We characterize it as any condition that requires ongoing adjustments by the affected person and interactions with the health care system.


HYPERTENSION

Hypertension is another name for high blood pressure. It can lead to severe complications and increases the risk of heart disease, stroke, and death. While blood pressure is best regulated through the diet before it reaches the stage of hypertension, there is a range of treatment options including regular physical exercise and stress reduction. Your primary care provider will work with you on a plan to manage your high blood pressure and may get you on one or more medications to help. The choice of drug depends on the individual and any other conditions they may have.

Some Types Of Medications:

A range of drug types are available to help lower blood pressure, including:

  • diuretics, including thiazides, chlorthalidone, and indapamide
  • beta-blockers and alpha-blockers
  • calcium-channel blockers
  • central agonists
  • peripheral adrenergic inhibitor
  • vasodilators
  • angiotensin-converting enzyme (ACE) inhibitors
  • angiotensin receptor blockers

DIABETES

You can manage your diabetes and live a long and healthy life by taking care of yourself each day. Diabetes can affect almost every part of your body. Therefore, you will need to manage your blood glucose levels, also called blood sugar. Managing your blood glucose, as well as your blood pressure and cholesterol, can help prevent the health problems that can occur when you have diabetes.

How can I manage my diabetes?

With the help of your primary care provider, you can create a diabetes self-care plan to manage your diabetes.

  • Follow your diabetes meal plan.
  • Make physical activity part of your routine.
  • Take your medicine.
  • Check your blood glucose levels.
  • Work with your health care team.
  • Cope with your diabetes in healthy ways.
  • See your primary care provider regularly

COPD

Chronic obstructive pulmonary disease (COPD) is a chronic disease that is often preventable and treatable. If you or a loved one has COPD, there are steps to take to cope with the lifestyle changes this disease brings. Learning about COPD and its treatment with your primary care provider can help you feel more in control. COPD damages the airways in your lungs and leads to shortness of breath, impacting your work, exercise, sleep and other everyday activities.

More than 11 million people in the U.S. suffer from COPD. It causes serious long-term disability and early death. There’s no cure, but COPD can be prevented and treated.

ANXIETY & DEPRESSION

While Depression and Anxiety are two different medical conditions, their symptoms, causes, and treatments can often overlap. If you have anxiety, depression, or both, chances are that your primary care provider will recommend medication, therapy, or a combination of the two. Keep track your symptoms and keep a log of how you feel each day, as this can help in the diagnostic process. It’s also important to speak up and ask your provider whether they think you have depression, anxiety, or both. This clarity can help you understand the treatment focus and how to manage your symptoms.


OBESITY/WEIGHT MANAGEMENT/THYROID ISSUES

Obesity is associated with an increased risk of diabetes, dyslipidemia, kidney disease, cardiovascular disease, all-cause mortality, and cancer. Thus, severe obesity is an important cause of premature mortality among middle-aged adults. Moreover, obesity, especially central obesity, is linked to many endocrine abnormalities, including thyroid dysfunction. Obesity is one of the most important health risks of our time. Staying in touch with your primary care provider is important if you suffer from or or struggling with obesity or thyroid function.


 

 

APPOINTMENT REQUEST

If you’d like to request an appointment time you can submit an Appointment Request to receive a call back. We will confirm with you the soonest we can get you in.

APPOINTMENT REQUEST PAGE

Find a location near you

Managing Chronic Health Issues

Chronic diseases affect nearly 1 in 2 US adults. If you are one of them, learning how to address problems and make informed decisions about your health can help you live a healthier life. Through effective behavior change efforts, appropriate medical management, and systematic monitoring to identifying new problems, chronic diseases and their consequences can often be prevented or managed effectively.

 

What is hypertension?

Each time your heart beats, blood is pumped through your arteries and veins, the blood vessels of your circulatory system. Arterial blood pressure is created by the force exerted by the blood against the artery walls, as they carry blood around your body.
  • Hypertension, also known as high blood pressure, is when the pressure of the blood being pumped through your arteries is higher than it should be.

 

What is Diabetes?

Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Blood glucose is your main source of energy and comes from the food you eat. Insulin, a hormone made by the pancreas, helps glucose from food get into your cells to be used for energy. Sometimes your body doesn’t make enough—or any—insulin or doesn’t use insulin well. Glucose then stays in your blood and doesn’t reach your cells.

 

What is COPD?

COPD is a chronic lung disease that gets worse over time. Emphysema and chronic bronchitis are the most common conditions that make up COPD. Damage to the lungs from COPD can’t be reversed. Symptoms include shortness of breath, wheezing, or a chronic cough. Rescue inhalers and inhaled or oral steroids can help control symptoms and minimize further damage.

What causes anxiety and depression?

Depression and anxiety disorders are different, but they often occur together. Underlying triggers can include nutritional, psychological, physical, emotional, environmental, social, and spiritual factors, as well as genetic tendencies or brain disease. People suffering from anxiety or depression can have a broad range of experiences- some may have only mild symptoms of anxiety and depression, while others may experience debilitating anxiety attacks or severe depression.

Differentiating Between Obesity and Being Overweight.

While the terms “overweight” and “obese” both relate to the person’s weight being higher than what is considered to be healthy for the person, there of course is a difference between the two. Body mass index (BMI) is commonly used to determine if someone is overweight or obese. An adult who has a BMI between 25 and 29.9 is considered to be overweight, while an adult who has a BMI of 30 or higher is considered to be obese.

GENERAL ULTRASOUND

Ultrasound imaging uses sound waves to produce pictures of the inside of the body. It is used to help diagnose the causes of pain, swelling and infection in the body’s internal organs and to examine a baby in pregnant women and the brain and hips in infants. It’s also used to help guide biopsies, diagnose heart conditions, and assess damage after a heart attack. Ultrasound is safe, noninvasive, and does not use ionizing radiation.

This procedure requires little to no special preparation. Your primary care provider will instruct you on how to prepare, including whether you should refrain from eating or drinking beforehand. Leave jewelry at home and wear loose, comfortable clothing. You may be asked to wear a gown.

 

OUR ULTRASOUND SERVICES

Ultrasound and Stress Echo imaging is available at the location and schedule below:

ULTRASOUND

STUART – Monday & Thursday 8am – 5pm
PSL – Wednesday 9am – 11am

STRESS ECHO

STUART – 2pm – 4pm

Please check with your nearest location for updated information on the days this service is available.

 

 


APPOINTMENT REQUEST

If you’d like to request an appointment time you can submit an Appointment Request to receive a call back. We will confirm with you the soonest we can get you in.

APPOINTMENT REQUEST PAGE

What is General Ultrasound Imaging?

Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.

Ultrasound is safe and painless, and produces pictures of the inside of the body using sound waves. Ultrasound imaging, also called ultrasound scanning or sonography, involves the use of a small transducer (probe) and ultrasound gel placed directly on the skin. High-frequency sound waves are transmitted from the probe through the gel into the body. The transducer collects the sounds that bounce back and a computer then uses those sound waves to create an image.

Because ultrasound images are captured in real-time, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.

ALLERGY TESTING

Finding out what you are allergic to is an important first step to effective allergy treatment. Today allergy tests are more convenient and accurate than ever before. When combined with a detailed medical history, allergy testing can identify the specific things that trigger your allergic reactions. Meeting with a primary care provider about any potential allergies you have is an important factor in maintaining a healthy and active lifestyle.

Your primary care provider will ask you about your medical history and make sure you get the right tests. If your medical history suggests that you have an allergy, your provider might refer you to an allergist or immunologist for testing.

 

  • A skin test is the most common kind of allergy test. Your skin is pricked with a needle that has a tiny amount of something you might be allergic to.
  • If you have a rash or take a medicine that could affect the results of a skin test, you may need a
    blood test.
  • For chronic hives, you usually do not need an allergy test. However, your doctor might order
    tests to make sure that the hives are not caused by other conditions, such as thyroid disease,
    lymphoma, or lupus.

 

 


APPOINTMENT REQUEST

If you’d like to request an appointment time you can submit an Appointment Request to receive a call back. We will confirm with you the soonest we can get you in.

APPOINTMENT REQUEST PAGE

What is an allergy?

An allergy is an abnormal immune system response that occurs as a result of exposure to certain substances (called allergens). An allergic reaction occurs when an allergen-specific antibody called immunoglobulin E (IgE), which is produced by the immune system and binds to cells in the body (mast cells), comes into contact with the specific allergen for which it was produced.

Medical Aesthetics

Aesthetics | Skin Care | Botox® | Hormone Therapy | Hair Loss

Aesthetics & Skin Care

We now provide patients with premium cosmetic treatments to enhance appearance and improve confidence. Our highly trained staff, including Dr. Michele Libman, Patricia Spisak-Dial, FNP-BC and Kathy Sharkey, A.R.N.P provide aesthetics treatments including Botox, dermal fillers, micro-needling, platelet rich plasma, hair rejuvenation and various other medical grade chemical peels and skin treatments.

Hormone Therapy (HRT)

As we age, our hormones are diminished. Hormone replacement can cause serious health issues if not done by a qualified provider. Dr. Libman and Patti Spisak-Dial are on the cutting edge of safe and effective hormone replacement therapies for both men and woman.  Patti is specially trained to do hormone replacement with pellets which are longer lasting and do not require weekly shots or messy creams.

Primary Care Providers

Meet Our Trusted Providers

Michele Libman

M.D. - Board Certified in Internal Medicine and Emergency Medicine

Jennifer Milone

M.D. - Double Board Certified in Child and Adolescent and Adult Psychiatry

Charles Perl

M.D. Board Certified in Family Practice

Nagy Farag

M.D. - Board Certified in Family Medicine

Roger Nicosia

D.O. - Board Certified in Family Practice

Patricia Spisak-Dial

APRN, FNP-C

Samantha Hamilton

APRN MSN, FNP-C

Sofia Wade

PA-C

Jennifer Nahas

APRN, FNP-C

Jordan Wrye

PA-C

Michael DePalma

PA-C

Sarah Mayer

FNP-C

Kathy Sharkey

APRN, FNP-C

Leslie Giordano

APRN, FNP-C

Sarah Robitaille

APRN, FNP-C

Patient Guide

Information For Your Visit To Our Clinic.

Contact/Appointment Request

Frequently Asked Questions

Complete and download patient forms online prior to your visit.

Answers to questions about accepted insurance and more.

Billing information or make a payment online.

Prescription information and online refill requests.