At AVIV, we accompany women—generally 30 and older—who feel their bodies have changed, their energy is no longer the same, and traditional answers haven’t been enough. Here, we do not normalize: Constant fatigue, Weight gain, Brain fog or Disconnection from your body. We listen, evaluate, and guide with conscious and personalized medicine. AVIV means to be reborn. And that is exactly what we do with you.
Medicine that looks at the whole body, not just the symptoms. At AVIV, we practice personalized, functional, and precision medicine designed to understand why your body feels different and how to support it safely and sustainably. We work 100% virtually, providing the real time you need to feel heard and supported.



Medicine with purpose, experience, and heart.
I am Marsella Jimeno-Peralta, FNP-C, Board Certified Family Nurse Practitioner, doctor by training, and founder of AVIV by Marsella. My vocation for medicine was not born from a trend or a wellness fad; it was born from real contact with people, deep stories, and bodies that asked to be understood, not just treated.
I graduated as a General Physician in the Dominican Republic in 2005 and practiced for more than 8 years in primary care. During that stage, I understood something essential: Educating is also a form of healing. After moving to Florida, I prioritized my role as a wife and mother while continuing my professional journey, eventually certifying as a Board Certified Family Nurse Practitioner.
While working in cardiology, I noticed a clear pattern: many chronic conditions were rooted in metabolic and hormonal imbalances. This led me to certify in Weight Management (GLP-1 therapies), Female Hormones, and Longevity Medicine.
My faith also plays a central role. AVIV is not a coincidence; it is a way to serve and help women “be reborn” in a stage of life often lived in silence.
“When you understand your biology and honor your process, you regain your power.”
It’s not more medicine. It’s better medicine.
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If you have any questions or need more information, please don’t hesitate to contact us. We’re here to assist you and will respond as promptly as possible to support your needs.