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This payment option is available to patients associated with Urgent Care Center of Port Orange, LLC, dba Advanced Urgent Care; Town Center Medical Center, LLC, dba Advanced Family Practice; Atlantic Anesthesia Services, LLC; and Advanced Gastroenterology & Endoscopy Centers.
Comprehensive, compassionate healthcare serving individuals and families throughout Port Orange, Daytona Beach, and the surrounding Florida communities.

Nancy graduated from Saint Louis University as a Physician Assistant in 2002 and has been practicing in the field of Gastroenterology ever since. Understanding that digestive health impacts every aspect of daily life, she takes an empathetic, patient-centered approach to gastroenterology care. Nancy specializes in helping patients navigate complex GI symptoms—from chronic heartburn to functional bowel disorders—ensuring every individual feels heard and supported throughout their care journey. When not at the clinic, Nancy enjoys gardening and traveling.
Arsheema is a dedicated Nurse Practitioner and clinical instructor committed to delivering exceptional patient care and mentoring the next generation of healthcare professionals. She graduated from the College of Medicine at Ateneo de Zamboanga University in the Philippines and brings a strong academic and clinical foundation to her practice.
Professionally specializing in cardiology and possessing extensive experience in gastroenterology, Abdurahman combines clinical expertise with a passion for education after she graduated nurse practitioner from South University, Savannah, Georgia. As a clinical instructor at Western Governors University, she teaches Bachelor of Science in Nursing students, guiding and welcoming them as they transition into hands-on clinical practice. Known for her compassionate approach and strong dedication to community service, she actively volunteers at community care clinics, bringing comprehensive, patient-centered support to individuals and families. Whether in the cardiology clinic, the classroom, or the community, she upholds the highest standards of professional excellence, leadership, and compassionate healthcare.


Sabrina Guzsvany, APRN is a double board-certified Family Nurse Practitioner and a Central Florida native. Born at Halifax Hospital, she grew up in Daytona Beach and attended Spruce Creek High School.
Her nursing career has taken her from Medstar Georgetown University Hospital, to working as a travel nurse, and later in the PACU at Cleveland Clinic. She went on to earn her Master of Science in Nursing as a Family Nurse Practitioner from Florida Atlantic University, and is excited to now be practicing gastroenterology in her hometown community.
Outside of work, she is an avid traveler and self-proclaimed foodie. She enjoys spending her free time outdoors, volunteering in her community, home improvement projects, and relaxing with her family and cats.
Rehana Siddiqui, MD
Dr. Rehana Siddiqui graduated from Dow Medical College before moving to England in 1972, where she completed her internship and residency training in obstetrics and gynecology. She continued practicing there for several years before relocating to the United States after passing the required licensing examinations.
In July 1984, Dr. Siddiqui joined the emergency department at Humana Hospital in Daytona Beach. After a year, she transitioned to urgent care and later joined FHC as a general practitioner.
With her husband working as an anesthetist at Palm Coast Hospital, Dr. Siddiqui had the opportunity to establish her own practice in Palm Coast with the hospital’s support. She provided general medical care and office-based gynecology, serving her community until retiring in December 2016.
In January 2018, Dr. Siddiqui returned to medicine, joining Advanced Family Practice to continue the patient care she has enjoyed throughout her career.


Amber Bryant, APRN
Amber is a Florida local born and raised in Volusia County. She has two amazing children and loves spending time with friends and family.
She started her career as an army medic serving in operation Iraqi freedom. Upon completion of her military service Amber advanced her education,becoming a nurse, and later a nurse practitioner. She has served patients in the emergency department, pediatric ICU, orthopedics, and urgent care settings. She is passionate about patient care, education and prides herself on providing a positive patient experience.
Wendy Mitchell, APRN
Wendy Mitchell is an accomplished Autonomous Advanced Practice Registered Nurse, healthcare leader, educator, and Army nurse with over 30 years of nursing experience and more than 10 years in advanced practice. Her background spans inpatient hospitalist management, urgent care, primary care, critical care, and academic nursing instruction. Throughout her career, she has combined clinical expertise with steady leadership, directing high-acuity care as a military Officer in Charge for the Emergency Department and Intensive Care Unit and later supporting workflow improvement and team performance as an APP Manager.
As an adjunct clinical faculty member and preceptor, Wendy draws on her military, administrative, and clinical experience to mentor graduate nursing students, support evidence-based practice, and promote patient-centered care. Recognized for her dedication to education and clinical excellence, she was named Instructor of the Year in 2004. Her work reflects a lasting commitment to quality improvement, sound clinical judgment, and collaborative care that strengthens outcomes for patients, students, and healthcare teams.

Wendy’s personal journey has also shaped the leader and clinician she is today. As the mother of three daughters and someone who has moved more than 27 times, she brings adaptability, resilience, and perspective to every environment she enters. Her Army nursing background deepened her commitment to service, teamwork, and calm, compassionate leadership in demanding situations. Outside of healthcare, she enjoys reading, running, hockey, Formula 1, and time with family, interests that reflect the energy, curiosity, and connection she brings to both her work and her life.

Loren E. Gomes, MSN, APRN, NP-C
Loren E. Gomes is a compassionate, board-certified Family Nurse Practitioner with advanced clinical experience in pain management, spine care, and urgent care. She holds a Master of Science in Nursing (MSN) and a Bachelor of Science in Nursing (BSN), with a strong foundation in comprehensive patient assessment, diagnosis, treatment planning, and clinical decision-making.
Currently practicing as an Advanced Practice Registered Nurse in pain and spine specialty care and urgent care, Loren is experienced in managing acute and chronic pain, interpreting MRI and diagnostic results, performing minor procedures, and providing wound care and urgent-care treatment. Her expertise also includes Workers’ Compensation care, physical examinations, appropriate referrals, and interdisciplinary care coordination.
Recognized for her compassionate, high-quality patient care, Loren brings strong clinical judgment, analytical abilities, and adaptability to her work. She values positive relationships with patients and coworkers and remains committed to professional growth. She is a member of Sigma Theta Tau International Honor Society of Nursing and has received support through the Halifax Medical Center Tuition Reimbursement Program.
Loren is multilingual and fluent in English, Tagalog, Arabic, Ilonggo, and Karay-a.
Vickie Sorrell APRN
Vickie Sorrell is a board-certified Nurse Practitioner dedicated to providing compassionate, personalized care in family practice and urgent care. She earned her Master of Nurse Practitioner degree from Marshall University in Huntington, West Virginia, in 2011, and her Bachelor of Nursing from West Virginia University in 1986. She also holds an Associate of Applied Science in Medical Laboratory Technology from Parkersburg Community College.
Board certified through the ANCC and licensed in West Virginia and Florida, Vickie has professional interests in urgent and emergency care, DOT services, and occupational medicine. She takes the time to listen carefully to each patient’s concerns, develop individualized treatment plans, and remain current through continuing education.
At Advance Family Practice/Urgent Care, Vickie is committed to helping every patient feel heard, respected, and confident in their care.


Tammy Grayson PA
With 16 years of experience as a Physician Assistant, Tammy is passionate about providing compassionate, high-quality care to patients of all ages. She earned her undergraduate degree from the University of Central Florida and her Physician Assistant degree from Nova Southeastern University. Tammy enjoys helping patients feel comfortable, informed, and confident in their healthcare decisions.
Outside of work, she loves traveling, reading, riding motorcycles, and spending time with her family. Her favorite role, however, is being a grandmother to her grandson, who keeps her smiling and young at heart. When she’s not caring for patients, you can often find her planning her next adventure or enjoying time with the people she loves most.
Ann Gaffka, APRN-C
Ann Gaffka is a board-certified Family Nurse Practitioner with over 25 years of experience in healthcare. Her extensive clinical background includes family practice, internal medicine, urgent care, hospital medicine, and hematology/oncology.
A graduate of the University of Central Florida, Ann holds a Master of Science in Nursing and is licensed as an Autonomous Advanced Practice Registered Nurse in Florida.
Throughout her career, Ann has remained dedicated to providing compassionate, individualized patient care. She believes in taking the time to listen to her patients, understand their concerns, and help them make informed decisions about their health.


Jana Jernstrom, DNP, ARNP
Jana Jernstrom is a nurse practitioner dedicated to providing compassionate, patient-centered care. A proud University of Central Florida Knight, she earned three degrees from UCF, culminating in her Doctor of Nursing Practice.
With a lifelong commitment to physical fitness, Jana’s background as a competitive swimmer and former fitness instructor has shaped her appreciation for the role of nutrition, exercise, and everyday habits in supporting long-term health. She brings this passion into her gastroenterology practice, recognizing the important connection between lifestyle factors and digestive health, and their influence on overall well-being. She values patient education and preventive care, empowering her patients to make informed decisions about their gastrointestinal health needs.
Through a compassionate, individualized approach, Jana strives to ensure every patient feels heard, respected, and cared for throughout their healthcare journey.