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Emily Hawkins, APRN, NP - C, is a nurse practitioner practicing at Marion Heart Center & Marion Physician Associates, which is located in Downtown Ocala and Ocala West, Florida. She joined our practice in March 2022 and believes in unique healthcare based on individual needs. She specializes in family care and internal medicine, providing complete and comprehensive treatment for all your loved ones. 

Mrs. Hawkins is a 2017 honors graduate of South University (Master of Science in Nursing) and Rasmussen College (Bachelor of Science in Nursing). She has served in the Ocala community as a health care provider for 20 years and believes in personalized care, empowering patients to make informed decisions about their health, whether it's cardiac intervention, diabetic management, hypertension treatments, vein disease, or some other procedure. 

To schedule an appointment with Mrs. Hawkins and the team at Marion Heart Center & Marion Physician Associates, call the nearest office or request an appointment online today. 

Ahad Jiva is a board-certified Family Nurse Practitioner who earned his Master of Science in Nursing from South University in 2025. He began his career in healthcare working at West Marion Hospital in orthopedic surgery before transitioning into family practice. His clinical interests include health promotion, weight-loss management, chronic disease management, and preventative health.

Outside of medicine, he enjoys playing tennis, traveling, and spending time with his family.

He speaks fluent Spanish

With over 12 years working in a patient care setting, Punwattie Ramnaraine, FNP-BC, is a dedicated and compassionate family nurse practitioner. At Marion Physician Associates, P.A. in Downtown Ocala and Ocala West, Florida, Punwattie is known for caring for patients just as she would for her own family.

Punwattie earned her Bachelor of Science in Nursing from the Long Island University Brooklyn in New York. She went on to earn her Master of Science in family nurse practitioner from Lehman College of The City University of New York in the Bronx. Punwattie is currently board-certified as a family nurse practitioner through the American Nurses Credentialing Center.

Punwattie, the mother of three wonderful daughters who are all successful physicians, takes pride in providing personalized care. She’s committed to integrative treatments and comprehensive follow-up care. Punwattie truly wants to understand her patients’ concerns, answer their questions, and engage them in a customized plan of care.

With her extensive background in patient care, Alceha Mayne-Thomas, APRN, can help patients with preventive care, chronic disease management, and so much more. Alceha cares for patients at Marion Physician Associates, P.A. in Ocala West, Florida.

After completing her undergraduate studies in nursing, Alceha was accepted into graduate school. She went on to complete her master’s degree in advanced registered nurse practitioner and is currently licensed to practice in Florida.

Alceha provides comprehensive exams, including women’s health evaluations. Her focus is on preventive care and early disease detection through hands-on evaluations and expanded laboratory testing. She also has expertise in helping patients manage diabetes, high blood pressure, heart disease, and arthritis, to name a few.

Patients of Alceha commend her dedication to high-quality patient care in a warm and welcoming environment. She likes to ensure her patients receive the counseling they need to feel comfortable being involved in their health care.

Alvis Duncan, LMHC, is a caring licensed mental health counselor in Gainesville, Florida. He offers counseling services for adults, couples, college students, adolescents, children, and families. He takes a holistic and patient-centered approach to mental health treatments. 

Alvis has a background in spiritual, mental, and physical health. He was previously a strength and conditioning coach and is highly trained in body, mind, and spirit integration. He offers in-office and video counseling sessions for added convenience. 

Alvis understands the importance of total wellness. He’s trained in spiritual wellness via his work with St. Andrew’s Church in Gainesville. He loves helping his clients achieve growth, success, and an abundant life. Alvis received specialized training in substance abuse treatment in adolescents and adults.

He often uses the interpersonal process approach as a conceptual framework due to its highly adaptable and integrative nature. This approach allows Alvis to creatively collaborate with each client and focus on their unique needs. He also uses attachment theory, cognitive behavioral therapy (CBT), and family and systems theory during counseling sessions.

Clients struggling with anxiety, depression, substance abuse, codependency, difficult life transitions, post-traumatic stress disorder (PTSD), and other mental health conditions can rely on Alvis for effective counseling in a comfortable setting. 

Alvis was born and raised in North Central Florida. When he’s not counseling clients, he enjoys spending time with his family, exercising, eating delicious foods, and taking care of his family’s chickens and ducks on their miniature farm. 

Alvis Duncan, LMHC, warmly welcomes new and existing clients to his practice and looks forward to helping them achieve a fulfilling and happy life. Schedule an appointment by phone or online today.

Dr. Axel Martinez is a dedicated family medicine physician serving the Ocala, FL community. With a passion for providing comprehensive healthcare for patients of all ages, Dr. Martinez combines clinical expertise with a compassionate approach to ensure his patients receive the highest standard of care.

Dr. Martinez earned his medical degree from University of Puerto Rico School of Medicine and has been in practice for more than 20 years and he is board-certified in family medicine and has years of experience in diagnosing, treating, and managing a wide variety of medical conditions. His areas of focus include preventive care, chronic disease management, and patient education.

Our new Medical Director will be responsible for high-level oversight of the medical staff, clinical policies, quality control, and the overall operational functioning of a healthcare practice. He will use his expertise to guide decisions that impact your care from a management perspective, rather than through hands-on clinical interaction.

Jeral has over 14 years of experience in Family Practice and Internal Medicine as a Physician Assistant. He has also proudly served in the United States Navy as a Pharmacy Technician, EMT, Fleet Marine Corpsman, and Independent Duty Corpsman.

Bilal Khodr, MD, is a board-certified doctor of emergency medicine proudly serving the Lake City, Florida, community at Mercy Medical Urgent Care. He has over 20 years of experience as a primary health care provider specializing in pediatrics. 

Dr. Khodr earned his medical degree from The Faculty of Medicine at the American University of Beirut — the leading internationally accredited medical institute of the Middle East in Beirut, Lebanon. Relocating to New York, Dr. Khodr completed an internship in pediatrics at SUNY Upstate Medical University in Syracuse, New York. 

Following his internship, Dr. Khodr completed his residency in pediatrics at Medstar Georgetown University Hospital in Washington, DC, where he provided inpatient and outpatient care to children and families. 

He later participated in a fellowship for neonatal-perinatal medicine at Boston Medical Center in Boston, Massachusetts. After this, Dr. Khodr completed a hematology and medical oncology fellowship at the University of Florida College of Medicine in Gainesville, Florida. 

Contributing to his extensive experience, Dr. Khodr has affiliations with UF Health Shands Hospital in Gainesville, Florida, and Lake City Medical Center in Lake City, Florida. 

Dr. Khodr enjoys staying current on the most recent treatments to improve his patients’ overall health and looks forward to caring for children and families in need at Mercy Medical Urgent Care.

Rejuvené Family Medicine was started by Rachel Sirois, APRN, FNP-BC. She has more than 12 years experience in healthcare including almost 3 years as a family nurse practitioner. She is a graduate of Jacksonville University and her first job as a nurse practitioner was in Macclenny at a convenient care clinic. It was during that time that she started noticing how many patients did not have a primary care provider. During this time, Rachel and her family fell in love with the small town feel of Macclenny and decided to purchase land, build a house, and plant some roots. They officially became Baker county residents in January 2022 and Rachel immediately started planning her clinic. She hopes that opening this clinic will help close the gap in the lack of primary care here and provide a safe, friendly, caring, and Christ-like environment for her patients. Whether you have Medicare, BCBS, or no insurance, she hopes to help make the residents of Baker county healthier!