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Due to construction surrounding our Bradenton office patients may experience detours/road closures

Meet the Providers at Ramos Center Bradenton, Sarasota & Venice FL

Meet our team of experienced medical providers. Please give us a call today to book an appointment with one of our pain management specialists.

Janine Zaccagnino

APRN-BC

Janine Zaccagnino holds a Master of Science in Nursing from Florida State University where she also earned her Bachelor of Science in Nursing.

Janine has been with Dr. Ramos for many years and see patients under his direction. Janine performs clinical assessments, care and coordinates procedures that will be performed by Dr. Ramos.

In addition to her experience in Interventional Medicine for Pain, Janine has worked extensively with Geriatric patients and was a coordinator of a Neuroscience/Stroke Program with Sarasota Memorial Hospital.

Janine Zaccagnino, APRN-BC

Janine Zaccagnino

APRN-BC
Janine Zaccagnino holds a Master of Science in Nursing from Florida State University where she also earned her Bachelor of Science in Nursing.

Janine has been with Dr. Ramos for many years and see patients under his direction. Janine performs clinical assessments, care and coordinates procedures that will be performed by Dr. Ramos.

In addition to her experience in Interventional Medicine for Pain, Janine has worked extensively with Geriatric patients and was a coordinator of a Neuroscience/Stroke Program with Sarasota Memorial Hospital.

Danny V. Delgado

PA-C, MPAS

Danny Delgado is an extremely qualified and experienced medical professional.

After practicing medicine in Ecuador for many years, Danny Delgado relocated to the United States where he studied at the University of Texas Pan-American, Edinburg, Texas and was awarded a Masters of Science Physician Assistant degree. Upon completing his Masters of Science Degree, Mr. Delgado took the Physician Assistant National Certifying Exam (PANCE) and received the highest score earned in the United States.

Mr. Delgado will be providing clinical assessment care and coordinate procedures that will be performed by Dr. Ramos.

Danny V. Delgado, PA-C, MPAS

Danny V. Delgado

PA-C, MPAS
Danny Delgado is an extremely qualified and experienced medical professional.

After practicing medicine in Ecuador for many years, Danny Delgado relocated to the United States where he studied at the University of Texas Pan-American, Edinburg, Texas and was awarded a Masters of Science Physician Assistant degree. Upon completing his Masters of Science Degree, Mr. Delgado took the Physician Assistant National Certifying Exam (PANCE) and received the highest score earned in the United States.

Mr. Delgado will be providing clinical assessment care and coordinate procedures that will be performed by Dr. Ramos.

Holly MacDonald

PA-C, MPAS

Holly earned her Bachelor of Science degree at Liberty University in Lynchburg, Virginia and then adding her Master of Physician Assistant degree at Wichita State University in Kansas.

After graduation with her Physician Assistant degree, Holly worked in interventional & functional pain medicine, critical care (including medical cardiovascular and neurological intensive care) and served on the stroke team for a certified stroke center. She holds certifications in BLS, ACLS, ENLS, and FCCS. Prior to becoming a Physician Assistant, she served her community as a ground and flight paramedic for many years.

Holly MacDonald, PA-C, MPAS

Holly MacDonald

PA-C, MPAS
Holly earned her Bachelor of Science degree at Liberty University in Lynchburg, Virginia and then adding her Master of Physician Assistant degree at Wichita State University in Kansas.

After graduation with her Physician Assistant degree, Holly worked in interventional & functional pain medicine, critical care (including medical cardiovascular and neurological intensive care) and served on the stroke team for a certified stroke center. She holds certifications in BLS, ACLS, ENLS, and FCCS. Prior to becoming a Physician Assistant, she served her community as a ground and flight paramedic for many years.

Deborah Vogel-Howard

MSN, APRN-BC

Deborah Vogel-Howard earned her Post-Master’s Certification as a Nurse Practitioner from Vanderbilt University in Nashville, Tennessee. Previously, she obtained her Masters in Nursing from the University of Cincinnati in Cincinnati, Ohio.

Prior to expanding her scope of practice, Deborah was a nurse for over 20 years working in a variety of settings, including medical-surgical, cardiac step-down and rehabilitation, oncology, pre-op and post-operative surgery care and patient education. She employs this knowledge and experience daily at the Ramos Center for Interventional & Functional Pain Medicine.

Ms. Vogel-Howard will be providing clinical assessment care, patient education, and coordination of procedures that will be performed by Dr. Fabian A. Ramos.

Deborah Vogel-Howard, MSN, APRN-BC

Deborah Vogel-Howard

MSN, ARNP-BC
Deborah Vogel-Howard earned her Post-Master’s Certification as a Nurse Practitioner from Vanderbilt University in Nashville, Tennessee. Previously, she obtained her Masters in Nursing from the University of Cincinnati in Cincinnati, Ohio.

Prior to expanding her scope of practice, Deborah was a nurse for over 20 years working in a variety of settings, including medical-surgical, cardiac step-down and rehabilitation, oncology, pre-op and post-operative surgery care and patient education. She employs this knowledge and experience daily at the Ramos Center for Interventional & Functional Pain Medicine.

Ms. Vogel-Howard will be providing clinical assessment care, patient education, and coordination of procedures that will be performed by Dr. Fabian A. Ramos.

Chad Henderson

APRN-BC
General orthopedics with a specific focus on spine

Education:
Bachelor of Science in Health Administration: University of Phoenix
Master of Science in Nursing: Indiana Wesleyan University

Chad has worked in the Emergency Department, Gastroenterology, and Orthopedic Spinal Surgery. He has Served on active duty in the United States Air Force prior to becoming a Nurse Practitioner. During his time in the military, Chad served in Operation Iraqi Freedom and Operation Enduring Freedom.

Since 2017 Chad has specialized in performing highly precise joint injections for pain. He has performed over 500 injections for our patients here at the Ramos Center.

Member of:
American Academy of Nurse Practitioners
Coalition of Advanced Practice Nurses in Indiana

Chad Henderson, APRN-BC

Chad Henderson

ARNP-BC
General orthopedics with a specific focus on spine

Education:
Bachelor of Science in Health Administration: University of Phoenix
Master of Science in Nursing: Indiana Wesleyan University

Chad has worked in the Emergency Department, Gastroenterology, and Orthopedic Spinal Surgery. He has Served on active duty in the United States Air Force prior to becoming a Nurse Practitioner. During his time in the military, Chad served in Operation Iraqi Freedom and Operation Enduring Freedom.

Since 2017 Chad has specialized in performing highly precise joint injections for pain. He has performed over 500 injections for our patients here at the Ramos Center.

Member of:
American Academy of Nurse Practitioners
Coalition of Advanced Practice Nurses in Indiana

Jessica Radcliffe

DNP, APRN-BC
Doctor of Nursing Practice
Nurse Practitioner

Jessica Radcliffe earned her Bachelors of Nursing degree from Shenandoah University in Leesburg, VA. After working as a nurse for almost 10 years she went on to earn her Doctorate of Nursing Practice from Florida State University and now practices as a Board Certified Nurse Practitioner. She also holds a BS in Psychology and Biology.

Jessica’s career experience includes work in Perioperative Care, Post Anesthesia Care, and Emergency Medicine in MAGNET recognized hospitals. She holds certifications in ACLS, PALS, and ENA TNCC. In addition to her passion for the practice of pain medicine, Jessica enjoys spending her free time outside in the Florida sun. She is scuba certified and has a love for being on the water.

Jessica Radcliffe

Jessica Radcliffe

DNP, APRN-BC
Doctor of Nursing Practice
Nurse Practitioner

Jessica Radcliffe earned her Bachelors of Nursing degree from Shenandoah University in Leesburg, VA. After working as a nurse for almost 10 years she went on to earn her Doctorate of Nursing Practice from Florida State University and now practices as a Board Certified Nurse Practitioner. She also holds a BS in Psychology and Biology.

Jessica’s career experience includes work in Perioperative Care, Post Anesthesia Care, and Emergency Medicine in MAGNET recognized hospitals. She holds certifications in ACLS, PALS, and ENA TNCC. In addition to her passion for the practice of pain medicine, Jessica enjoys spending her free time outside in the Florida sun. She is scuba certified and has a love for being on the water.

Justin Kotlarczyk

MSPT, CSCS
Physical Therapist

Staff member Justin Kotlarczyk, MSPT, CSCS completed his undergraduate studies at State University of New York at Brockport. Justin earned his Bachelors Degree in Health Science with a concentration in Athletic training. Justin then went on to earn his Masters Degree in Physical therapy at Nazareth College in Rochester, New York.

While completing his studies, Justin served as Assistant Athletic Trainer at St. John Fisher College, providing rehabilitation and game coverage for over 500 athletes. In 2003, Justin also earned his certification as a Strength & Conditioning Specialist through the National Strength and Conditioning Association. Additionally, he also have a certification in Gait and Vestibular Rehabilitation. Since initiating his Physical Therapy career, Justin’s specialties include: orthopedic physical therapy, manual therapy and strength & conditioning.

Justin Kotlarczyk, MSPT, CSCS

Justin Kotlarczyk

MSPT, CSCS
Physical Therapist
Staff member Justin Kotlarczyk, MSPT, CSCS completed his undergraduate studies at State University of New York at Brockport. Justin earned his Bachelors Degree in Health Science with a concentration in Athletic training. Justin then went on to earn his Masters Degree in Physical therapy at Nazareth College in Rochester, New York.

While completing his studies, Justin served as Assistant Athletic Trainer at St. John Fisher College, providing rehabilitation and game coverage for over 500 athletes. In 2003, Justin also earned his certification as a Strength & Conditioning Specialist through the National Strength and Conditioning Association. Additionally, he also have a certification in Gait and Vestibular Rehabilitation. Since initiating his Physical Therapy career, Justin’s specialties include: orthopedic physical therapy, manual therapy and strength & conditioning.

Thomas Brown

ASPTA
Physical Therapist Assistant

My name is Thomas Brown. I am 35 years old. I am a true Florida native that was born in the Tampa Bay area, but grew up in Bradenton. I graduated from Keiser University in December of 2017 with an Associate in Science degree in Physical Therapist Assistant. My first clinical rotation was at the rehab facility Healthsouth, however it was during my second clinical rotation at the Ramos center that I felt I had found my niche. Upon graduating and passing my boards I applied with and found employment at the Ramos center. I plan on specializing in Myofascial release, and Vestibular therapies. I am married with two children, my wife is also in therapy. She is a COTA and the one who inspired me to go back to school in search of a more rewarding career. Besides being devoted to my family I enjoy scuba diving, fishing, mountain biking and generally anything outdoors related. I also love martial arts and studied Kung-fu when I was in my twenties, which was what initially interested me in the motion of the body and ultimately helped me decide on a career in Physical Therapy. I enjoy non-fiction literature especially that which deals with deep history and the origins of humanity.

Thomas Brown, ASPTA

Thomas Brown

ASPTA
Physical Therapist Assistant
My name is Thomas Brown. I am 35 years old. I am a true Florida native that was born in the Tampa Bay area, but grew up in Bradenton. I graduated from Keiser University in December of 2017 with an Associate in Science degree in Physical Therapist Assistant. My first clinical rotation was at the rehab facility Healthsouth, however it was during my second clinical rotation at the Ramos center that I felt I had found my niche. Upon graduating and passing my boards I applied with and found employment at the Ramos center. I plan on specializing in Myofascial release, and Vestibular therapies. I am married with two children, my wife is also in therapy. She is a COTA and the one who inspired me to go back to school in search of a more rewarding career. Besides being devoted to my family I enjoy scuba diving, fishing, mountain biking and generally anything outdoors related. I also love martial arts and studied Kung-fu when I was in my twenties, which was what initially interested me in the motion of the body and ultimately helped me decide on a career in Physical Therapy. I enjoy non-fiction literature especially that which deals with deep history and the origins of humanity.

Marly Ayala-Ycaza

M/S PSY. LMHC
Licensed Mental Health Counselor & Research Coordinator

Marly Ayala-Ycaza has extensive experience in counseling patients with psychological and psychiatric disorders with a special preference in handling personality issues. Born in Ecuador, she is also an Argentinean citizen and is fluent in French, Portuguese, Spanish and English and able to provide therapy in any of these languages. Marly Ayala-Ycaza started her academic preparation with an associate degree in nursing at Universidad Catolica de Santiago de Guayaquil where she was later an Instructor. Her attraction for human mind inspired her to continue on for a Bachelor Degree in General Psychology, graduated as Universidad Tecnica Particular de Loja, and followed by a master degree in Science of Psychology at University of Phoenix.

Her experience in eating disorders, personality disorders, anxiety, depression, phobias, traumas, and addictions is a compilation of years of experience in different psychiatric hospitals in Ecuador and the United States. Marly Ayala-Ycaza dedicated part of her last 3 years working as a research coordinator for several trials. She is the author of the paper “Learning Communities: a tool for Educational and Clinical Intervention (June 2010)”. She is the co-author of several papers published by Dr. Ilson Cueva in Ecuador, and the author the seminar “fear to fly” presented in different occasions in Guayaquil, Ecuador.

Marly Ayala-Icaza, M/S PSY. LMHC

Marly Ayala-Ycaza

M/S PSY. LMHC
Licensed Mental Health Counselor & Research Coordinator

Marly Ayala-Ycaza has extensive experience in counseling patients with psychological and psychiatric disorders with a special preference in handling personality issues. Born in Ecuador, she is also an Argentinean citizen and is fluent in French, Portuguese, Spanish and English and able to provide therapy in any of these languages. Marly Ayala-Ycaza started her academic preparation with an associate degree in nursing at Universidad Catolica de Santiago de Guayaquil where she was later an Instructor. Her attraction for human mind inspired her to continue on for a Bachelor Degree in General Psychology, graduated as Universidad Tecnica Particular de Loja, and followed by a master degree in Science of Psychology at University of Phoenix.

Her experience in eating disorders, personality disorders, anxiety, depression, phobias, traumas, and addictions is a compilation of years of experience in different psychiatric hospitals in Ecuador and the United States. Marly Ayala-Ycaza dedicated part of her last 3 years working as a research coordinator for several trials. She is the author of the paper “Learning Communities: a tool for Educational and Clinical Intervention (June 2010)”. She is the co-author of several papers published by Dr. Ilson Cueva in Ecuador, and the author the seminar “fear to fly” presented in different occasions in Guayaquil, Ecuador.

Katiuska Ramos

Certified Clinical Therapist NLP Practitioner

Katiuska M. Ramos, Certified Clinical Hypnotherapist and Neurolinguistic Programming Practitioner is a member of the International Association of Hypnotherapists. Trained at the Institute of Interpersonal Hypnotherapy, Mrs. Ramos has extensive practice and education in the field of hypnosis. Her large scope of training includes Clinical Hypnotherapy, Interpersonal Hypnotherapy, Trans-Personal Hypnotherapy and NLP. As a Neuro-Linguistic Programming Practitioner (NLP), Mrs. Ramos studied with Psychologist and Co-Developer of Neuro-Linguistic Techniques, Dr. Richard Bandler.

NLP and Hypnotherapy are a powerful combination that will help you experience positive life transformations and the power of your subconscious mind. Katiuska has an instinctive nature for continuing education which constantly motivates her to keep abreast of the state of the art techniques and advances in hypnotherapy.

Mrs. Ramos, along with her husband and three children planted roots in Sarasota in the year 2000. She is fluent in English and Spanish and provides hypnotherapy services in both languages in the Bradenton and Sarasota areas. Her natural compassion and true desire to help people is the greatest motivation for her hypnotherapy practice. Mrs. Ramos’ main objective is always to help others achieve more health and happiness through hypnosis.

Katiuska Ramos, Certified Clinical Therapist NLP Practitioner

Katiuska Ramos

Certified Clinical Therapist NLP Practitioner
Katiuska M. Ramos, Certified Clinical Hypnotherapist and Neurolinguistic Programming Practitioner is a member of the International Association of Hypnotherapists. Trained at the Institute of Interpersonal Hypnotherapy, Mrs. Ramos has extensive practice and education in the field of hypnosis. Her large scope of training includes Clinical Hypnotherapy, Interpersonal Hypnotherapy, Trans-Personal Hypnotherapy and NLP. As a Neuro-Linguistic Programming Practitioner (NLP), Mrs. Ramos studied with Psychologist and Co-Developer of Neuro-Linguistic Techniques, Dr. Richard Bandler.

NLP and Hypnotherapy are a powerful combination that will help you experience positive life transformations and the power of your subconscious mind. Katiuska has an instinctive nature for continuing education which constantly motivates her to keep abreast of the state of the art techniques and advances in hypnotherapy.

Mrs. Ramos, along with her husband and three children planted roots in Sarasota in the year 2000. She is fluent in English and Spanish and provides hypnotherapy services in both languages in the Bradenton and Sarasota areas. Her natural compassion and true desire to help people is the greatest motivation for her hypnotherapy practice. Mrs. Ramos’ main objective is always to help others achieve more health and happiness through hypnosis.

George Howard

CRNA

George Howard CRNA

George Howard

CRNA

Dan Ghering

CRNA

Dan Ghering CRNA

Dan Ghering

CRNA