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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 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.

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.

Amreen Noorani, APRN, is an advanced practice nurse at Marion Heart Center & Marion Physician Associates, which is located in Downtown Ocala and Ocala West, Florida. She has been working as an advanced practice registered nurse (APRN) for about 10 years.  

She earned her Bachelor of Science in Nursing from Keiser University, Orlando, in 2019. She went on to complete her master’s degree in adult-gerontology primary care nurse practitioner training from South University in Savannah, Georgia, in 2022. She also holds a bachelor's degree in psychology and sociology. At the moment, she is licensed to practice in Florida.

She believes in delivering quality and customized care based on the individual patient's needs. She has been blessed with a baby daughter, a toddler son, and a loving husband.

To schedule an appointment with Amreen and the team at Marion Heart Center & Marion Physician Associates, call the nearest office or request one 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

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. 

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.

Amreen Noorani, APRN, is an advanced practice nurse at Marion Heart Center & Marion Physician Associates, which is located in Downtown Ocala and Ocala West, Florida. She has been working as an advanced practice registered nurse (APRN) for about 10 years.  

She earned her Bachelor of Science in Nursing from Keiser University, Orlando, in 2019. She went on to complete her master’s degree in adult-gerontology primary care nurse practitioner training from South University in Savannah, Georgia, in 2022. She also holds a bachelor's degree in psychology and sociology. At the moment, she is licensed to practice in Florida.

She believes in delivering quality and customized care based on the individual patient's needs. She has been blessed with a baby daughter, a toddler son, and a loving husband.

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

I was born in the Commonwealth of Puerto Rico and graduated from the University of Turabo in the summer of 2017. Shortly after I moved to the lovely city of Tampa where I have provided medical care to our veterans, retirees, immigrants and the families of the Hillsborough-Pasco counties. I decided to start a healthcare career because from a young age I understood that my vocation was to help those in need, specifically the poor and the sick. A good day at work means that our primary care team was able to deliver great care to those in suffering from acute illnesses and when I able to educate our patients on the ways they can change their lifestyles in order to improve their overall health. I have a team minded work ethic, centered the application of efficient practices in the delivery of quality care. When I take off my coat, I enjoy spending time with my family, joining in outdoor activities, exercising, and studying history.

Providing Patient Centered, Compassionate, High Quality Care in Tampa Bay. With an emphasis on breathing techniques and meditation, we promote thoughtful and reflexive yoga to promote both physical and mental well-being.

Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.

As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.

Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.

In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.

Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.

As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.

Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.

In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.

Poonam Malhotra, MD, is a family medicine physician at Central Clinic in Spring Hill, Florida. She is proud to provide comprehensive internal medicine and primary care services as well as womens health care.

Dr. Malhotra earned her Bachelor of Medicine, Bachelor of Surgery (MBBS) from Kasturba Medical College in Mangalore, India before she earned a diplomate in Medical Radio Diagnosis (DMRD) at Tata Memorial Cancer Research Centre in Mumbai, India.

She has an MD in family practice from the Morton Plan Mease, USF program, in Clearwater, Florida. 

Dr. Malhotra has been practicing at Central Clinic since 2005 and warmly welcomes patients to the practice. 

Our list of services include treatment of diabetes, hypertension, depression, anxiety, deaddiction from opiates and smoking cessation and treatment of obesity among many other services.

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.

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.