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Direct Primary Care in Ellenton, Florida

Modern medicine.
Old fashioned doctors.

Membership based primary care and in-house chiropractic. One flat monthly fee, appointments that are not rushed, and a doctor you can actually call. No copays, no insurance runaround.

Questions first? Call 941 417 7386, Monday to Friday, 9:00 AM to 5:00 PM.

A nurse practitioner in a white coat sitting and talking with a patient in a bright exam room
83+combined years
caring for this community

What is direct primary care

Your doctor works for you, not an insurance company.

Membership replaces copays and claim forms with one flat monthly fee. Fewer patients per doctor is what buys the longer visits and the faster access.

More time with your doctor

Standard visits run long enough to actually cover things. We keep our panel small on purpose, so you are not a seven minute appointment squeezed between twenty others.

One transparent monthly fee

You pay a flat membership. No copays at the desk, no surprise bill three weeks later, no wondering what a visit will cost before you book it.

Same or next day access

When you are sick you get seen, usually the same day and often within hours. Getting care should not mean waiting three weeks for the next opening.

Call or text your doctor directly

You get direct contact with your provider, not a phone tree. For most questions a text or a call settles it without a trip to the office.

How membership care is different

Membership care
Appointment length
Often 7 to 15 minutes
As long as the visit needs
Getting seen
Days or weeks of waiting
Same or next day
Reaching your provider
Front desk, phone tree, callback
Call or text your provider directly
What it costs
Copays, deductibles, later billing
One flat monthly membership

Services

Family medicine and chiropractic, under one roof.

Most of what you need in a year happens here, coordinated by people who know your history rather than handed off across town.

Family Medicine

Everyday primary care for adults and children, from routine checkups to the things that come up unexpectedly.

  • Annual physicals and wellness exams
  • Acute illness and injury care
  • Chronic condition management (diabetes, blood pressure, thyroid, cholesterol)
  • Preventive screenings and vaccinations
  • Womens and mens health
  • Pediatric and well child visits
  • Minor in-office procedures
  • Sports and school physicals
  • Lab work at wholesale pricing

Chiropractic Care

In-house chiropractic, so musculoskeletal care is coordinated with your primary care instead of handed off to a stranger across town.

  • Spinal adjustment and manipulation
  • Back and neck pain treatment
  • Headache and migraine relief
  • Sciatica and nerve pain
  • Sports and repetitive strain injuries
  • Posture and mobility work

Membership

One monthly fee. No copays, no surprises.

Membership covers your primary care. Most members pair it with a lower cost plan for hospital stays and specialists, and we are happy to talk through how the two fit together.

What membership includes

  • Unlimited office visits
  • Same or next day appointments
  • Direct call and text access to your provider
  • Annual wellness exam
  • In-office procedures at no extra charge
  • Wholesale pricing on labs and medications

Individual, couple, and family plans

Tell us who needs care and we will send current rates and answer anything about how membership works alongside your existing coverage.

Ask about membership

Common questions

Does this replace my insurance?

No. Membership covers your primary care. Most members pair it with a lower cost high deductible plan or a health share for hospital stays, surgery, and specialists. We are happy to talk through how the two fit together.

Do you bill my insurance for visits?

We do not. That is what lets us keep pricing flat and appointments long. You are welcome to keep your insurance for care outside our office.

Is there a contract?

Membership is month to month. There is no long term commitment and you can cancel with notice.

What about labs, imaging, and medications?

Members get wholesale pricing, which is often dramatically less than retail. We tell you the cost before anything is ordered.

Is chiropractic care included?

Chiropractic is offered in house by Dr. Elwira Kulawik. Ask us how it can be added to your membership.

Your care team

The people you will actually see.

A small panel means you are not passed between whoever is available. You get to know your provider, and they get to know you.

Medical Director

Dr. Raphael Kulawik

D.O.

Dr. Kulawik is board certified in Family Medicine and serves as medical director of the practice. He earned his undergraduate degree at the University of Florida with a BS in Microbiology and minors in Chemistry and Human Nutrition, then his Doctor of Osteopathic Medicine at Lake Erie College of Osteopathic Medicine in 2010.

Physician Assistant

David Hervig

PA-C

David trained as a Physician Assistant in the US Army and served twelve years in the military. Alongside seeing patients he manages the office and leads the practice outreach.

Julie Vera Rivas, MSN, APRN, FNP-C

Nurse Practitioner

Julie Vera Rivas

MSN, APRN, FNP-C

Julie is a board certified Family Nurse Practitioner focused on primary care and weight management, with more than 27 years in healthcare including ten years as a Registered Nurse. She works from the whole picture of a patient's health, building plans around habits that hold up in real life rather than short term extremes, and pairs that with education and steady follow through.

  • Primary care
  • Weight management
  • Preventive and metabolic health

Chiropractor

Dr. Elwira Kulawik

D.C.

Dr. Elwira Kulawik provides the practice in-house chiropractic care. Born in Szczecin, Poland, she studied Psychology and Russian at Syracuse University and completed a Bachelor of Science through the University of the State of New York.

For employers

Offer your team a doctor they can actually reach.

Direct primary care works well for local businesses that want a real health benefit without the cost of a full insurance plan. We work with employers of any size, starting at a handful of staff.

Predictable cost
A flat per employee monthly fee. No claims, no year end surprises to budget around.
Less time lost
Same or next day appointments and direct provider contact mean fewer half days spent in a waiting room.
A benefit people use
Primary care your team can actually reach, which is worth more day to day than coverage they never touch.

Contact

Come see whether this fits.

Ask us anything about membership, or book a visit. If you are an existing patient, the portal is the fastest route for records and refills.

Call
941 417 7386
Fax 941 479 7572
Hours
Monday to Friday, 9:00 AM to 5:00 PM
Visit
907 25th Dr East
Ellenton, FL 34222

Send us a message

We reply within one business day. Please do not include medical details in this form.