Midway Specialty Care Center · Fort Pierce, FL
Hepatitis Treatment in Fort Pierce, Florida
Board-certified infectious disease specialists providing expert hepatitis B and C diagnosis, treatment, and long-term liver health monitoring.
Hepatitis Care in Fort Pierce
Modern Hepatitis Treatment
Hepatitis B and C are serious liver infections caused by viruses that can be transmitted through blood, sexual contact, or from mother to child. Left untreated, both can lead to chronic liver disease, cirrhosis, or liver cancer — but with the right care, outcomes have dramatically improved. Hepatitis C is now curable in the vast majority of patients, and hepatitis B can be effectively managed long-term.
At Midway Specialty Care Center in Fort Pierce, our infectious disease physicians specialize in the diagnosis and treatment of viral hepatitis. We provide individualized care plans, access to the latest FDA-approved therapies, and the ongoing liver monitoring needed to protect your health over the long term.
Whether you were recently diagnosed, referred by another physician, or have been living with hepatitis for years without treatment, we're ready to help.
What Hepatitis Care at Midway Includes
Comprehensive evaluation, treatment, and monitoring.
Hepatitis C Treatment (Curative)
Modern direct-acting antiviral (DAA) therapy can cure hepatitis C in more than 95% of patients — often with just 8–12 weeks of once-daily oral medication. We determine the best DAA regimen based on your viral genotype, liver fibrosis stage, and prior treatment history, and provide close monitoring throughout to confirm cure.
Hepatitis B Management & Treatment
Unlike hepatitis C, chronic hepatitis B currently has no cure, but it can be effectively managed with antiviral therapy to suppress viral replication, protect liver function, and reduce the risk of cirrhosis and liver cancer. We evaluate whether treatment is indicated based on viral load, liver enzymes, and fibrosis stage, and provide long-term follow-up care.
Liver Function & Viral Load Monitoring
Regular laboratory testing is central to hepatitis management. We monitor liver enzyme levels (ALT/AST), viral load, hepatitis antigen and antibody markers, and bilirubin — tracking how your liver is responding to treatment and whether the virus is being suppressed or eliminated. Monitoring frequency is tailored to your specific situation.
Medication Access Through 340B
Direct-acting antiviral medications for hepatitis C can cost tens of thousands of dollars without assistance. As a federally qualified 340B nonprofit clinic, we can provide these medications at dramatically reduced costs for eligible patients. Our team also assists with insurance prior authorizations and pharmaceutical patient assistance programs.
HIV / Hepatitis Co-Infection Management
HIV and hepatitis C frequently occur together, and HIV infection can accelerate liver disease progression in patients with hepatitis. Our infectious disease physicians are experienced in managing co-infected patients — coordinating HIV antiretroviral therapy alongside hepatitis treatment for optimal outcomes in both conditions.
Your Care Team in Fort Pierce
Board-certified specialists with expertise in hepatitis B and C treatment.
Dr. Moti Ramgopal
MD, FACP, FIDSA, Chairman
Dr. Moti Ramgopal is the Founder and Director of Midway Immunology and Research Center and the Founder/Chairman of the not-for-profit Midway Specialty Care Center in Florida and Guyana. Additionally, he is a Consultant Physician/Director of Associates in Infectious Diseases and a Clinical Professor at Florida State University College of Medicine. He also serves as an HIV Consultant for the Ministry of Health in the Turks and Caicos Islands. Dr. Ramgopal is certified by the American Board of Internal Medicine and Infectious Diseases with expertise in clinical research and the rapid implementation of novel, cutting-edge treatments for over 25 years. As Principal Investigator at Midway Immunology and Research Center, he has overseen 300+ clinical trials, with his research published in peer-reviewed journals and presented at various national and international conferences. His work has been published in the Lancet, Journal of Clinical Infectious Diseases, and Journal of Acquired Immune Deficiency Syndromes. Additionally, he has presented research at the 2023 International AIDS Society Conference on HIV Science and the Conference on Retroviruses and Opportunistic Infections. As a Consulting Physician, he is affiliated with multiple hospitals within the Treasure Coast area. His team provides comprehensive services such as wound care and outpatient IV antibiotics (OPAT). In addition, he provides opportunities for patients to transfer from inpatient care to outpatient medicine through the availability of an infusion center. Through Midway Specialty Care Center, Dr. Ramgopal and his team embrace the initiative of ending the HIV and HCV epidemics by 2030 in critical communities throughout Florida. To expand the organization's reach, he established two clinics in Georgetown, Guyana, providing the community with new opportunities and access to various clinical and laboratory services. Due to his experiences and efforts, US News and World Reports recognized Dr. Ramgopal as a top Infectious Disease Doctor. Dr. Ramgopal received his medical degree from the University of the West Indies Faculty of Medical Sciences and completed a Residency in Internal Medicine at Beaumont Hospital in Michigan. He then completed a Fellowship in Infectious Diseases at Jackson Memorial and the University of Miami School of Medicine. Dr. Ramgopal is passionate about integrating healthcare from developed to underdeveloped communities, especially in the Caribbean, by introducing advancing technologies, clinical research, and trials. Originally from Guyana and previously the Medical Director of PEPFAR in Guyana, he opened a clinic in Georgetown, Guyana, in 2019 where he actively gives back to the community he grew up in. In addition, Dr. Ramgopal continues to explore opportunities to reach high-risk groups nationally and internationally by providing opportunities to practice medicine, educational training, and consultation services.
Dr. Moti Ramgopal
MD, FACP, FIDSA, Chairman
Dr. Moti Ramgopal is the Founder and Director of Midway Immunology and Research Center and the Founder/Chairman of the not-for-profit Midway Specialty Care Center in Florida and Guyana. Additionally, he is a Consultant Physician/Director of Associates in Infectious Diseases and a Clinical Professor at Florida State University College of Medicine. He also serves as an HIV Consultant for the Ministry of Health in the Turks and Caicos Islands. Dr. Ramgopal is certified by the American Board of Internal Medicine and Infectious Diseases with expertise in clinical research and the rapid implementation of novel, cutting-edge treatments for over 25 years. As Principal Investigator at Midway Immunology and Research Center, he has overseen 300+ clinical trials, with his research published in peer-reviewed journals and presented at various national and international conferences. His work has been published in the Lancet, Journal of Clinical Infectious Diseases, and Journal of Acquired Immune Deficiency Syndromes. Additionally, he has presented research at the 2023 International AIDS Society Conference on HIV Science and the Conference on Retroviruses and Opportunistic Infections. As a Consulting Physician, he is affiliated with multiple hospitals within the Treasure Coast area. His team provides comprehensive services such as wound care and outpatient IV antibiotics (OPAT). In addition, he provides opportunities for patients to transfer from inpatient care to outpatient medicine through the availability of an infusion center. Through Midway Specialty Care Center, Dr. Ramgopal and his team embrace the initiative of ending the HIV and HCV epidemics by 2030 in critical communities throughout Florida. To expand the organization's reach, he established two clinics in Georgetown, Guyana, providing the community with new opportunities and access to various clinical and laboratory services. Due to his experiences and efforts, US News and World Reports recognized Dr. Ramgopal as a top Infectious Disease Doctor. Dr. Ramgopal received his medical degree from the University of the West Indies Faculty of Medical Sciences and completed a Residency in Internal Medicine at Beaumont Hospital in Michigan. He then completed a Fellowship in Infectious Diseases at Jackson Memorial and the University of Miami School of Medicine. Dr. Ramgopal is passionate about integrating healthcare from developed to underdeveloped communities, especially in the Caribbean, by introducing advancing technologies, clinical research, and trials. Originally from Guyana and previously the Medical Director of PEPFAR in Guyana, he opened a clinic in Georgetown, Guyana, in 2019 where he actively gives back to the community he grew up in. In addition, Dr. Ramgopal continues to explore opportunities to reach high-risk groups nationally and internationally by providing opportunities to practice medicine, educational training, and consultation services.
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Dr. Candice Joseph
MD
Dr. Joseph joined Midway Specialty Care Center, Inc. in October 2021. She received her Medical Degree from Spartan Health Sciences University in St. Lucia and was accepted into an Internship and Residency Program at SSM St. Mary's Hospital in St. Louis, MO. Dr. Joseph then completed a Fellowship Training Program in Infectious Diseases at the University of Florida College of Medicine. She has a focused interest in HIV and other Infectious Diseases and is Board Certified by the American Board of Internal Medicine and Board Certified in Infectious Diseases.
Dr. Candice Joseph
MD
Dr. Joseph joined Midway Specialty Care Center, Inc. in October 2021. She received her Medical Degree from Spartan Health Sciences University in St. Lucia and was accepted into an Internship and Residency Program at SSM St. Mary's Hospital in St. Louis, MO. Dr. Joseph then completed a Fellowship Training Program in Infectious Diseases at the University of Florida College of Medicine. She has a focused interest in HIV and other Infectious Diseases and is Board Certified by the American Board of Internal Medicine and Board Certified in Infectious Diseases.
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Lauren Leeflang
PA-C
Lauren Leeflang is a Board Certified Physician Assistant. Lauren was only two semesters away from graduating with a Bachelor of the Arts in Anthropology from the University of Florida when she enrolled in a Medical Anthropology course. From that moment on, she was fascinated by the societal and cultural influences on healthcare and medicine, leading her to immediately enroll in Florida Atlantic University's Pre-Health Professions Post-Baccalaureate program upon the completion of her degree. It was there that she learned more about the Physician Assistant profession and the nationwide shortage of primary care providers. She graduated with honors from the Nova Southeastern University Physician Assistant Program in Orlando, Florida, where she earned her Masters of Medical Sciences. As a PA, Lauren is passionate about primary care, and appreciates the diverse clinical challenges of HIV and other infectious diseases. A self-described "food nerd," Lauren spends much of her free time in the kitchen trying new recipes, or brewing beer with her husband. She also loves gardening, the beach, and her adorable dog, Kona.
Lauren Leeflang
PA-C
Lauren Leeflang is a Board Certified Physician Assistant. Lauren was only two semesters away from graduating with a Bachelor of the Arts in Anthropology from the University of Florida when she enrolled in a Medical Anthropology course. From that moment on, she was fascinated by the societal and cultural influences on healthcare and medicine, leading her to immediately enroll in Florida Atlantic University's Pre-Health Professions Post-Baccalaureate program upon the completion of her degree. It was there that she learned more about the Physician Assistant profession and the nationwide shortage of primary care providers. She graduated with honors from the Nova Southeastern University Physician Assistant Program in Orlando, Florida, where she earned her Masters of Medical Sciences. As a PA, Lauren is passionate about primary care, and appreciates the diverse clinical challenges of HIV and other infectious diseases. A self-described "food nerd," Lauren spends much of her free time in the kitchen trying new recipes, or brewing beer with her husband. She also loves gardening, the beach, and her adorable dog, Kona.
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Darla Bagwell
APRN, AAHIVS
Ms. Bagwell graduated from the University of Tampa with a Master of Science in Nursing and is a board certified adult nurse practitioner. She holds a certification as an HIV specialist from the American Academy of HIV Medicine. Ms. Bagwell joined Midway Specialty Care Center in 2013 at the advent of the direct acting antiviral era for the treatment of hepatitis C. Ms. Bagwell provides treatment for HIV, hepatitis C, pre-exposure HIV prophylaxis, post-exposure HIV prophylaxis, sexually transmitted infections, and primary care. Ms. Bagwell enjoys spending her free with time with her husband and her two children.
Darla Bagwell
APRN, AAHIVS
Ms. Bagwell graduated from the University of Tampa with a Master of Science in Nursing and is a board certified adult nurse practitioner. She holds a certification as an HIV specialist from the American Academy of HIV Medicine. Ms. Bagwell joined Midway Specialty Care Center in 2013 at the advent of the direct acting antiviral era for the treatment of hepatitis C. Ms. Bagwell provides treatment for HIV, hepatitis C, pre-exposure HIV prophylaxis, post-exposure HIV prophylaxis, sexually transmitted infections, and primary care. Ms. Bagwell enjoys spending her free with time with her husband and her two children.
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Angela Trodglen
APRN
Ms. Trodglen received her Associate and Bachelor in Science in Nursing from Indian River State College. Angela received a Master of Science in Nursing with high honors from South University in Savannah, Georgia. Angela has worked for Associates in Infectious Diseases and Midway Specialty Care, PA since 2016. She joined the Medical Staff Team with several years of Hospital experience in PCU and Surgical PCU. Ms. Trodglen has developed a focused interest in the field of Infectious Diseases. Angela is a Florida native and grew up in Vero Beach.
Angela Trodglen
APRN
Ms. Trodglen received her Associate and Bachelor in Science in Nursing from Indian River State College. Angela received a Master of Science in Nursing with high honors from South University in Savannah, Georgia. Angela has worked for Associates in Infectious Diseases and Midway Specialty Care, PA since 2016. She joined the Medical Staff Team with several years of Hospital experience in PCU and Surgical PCU. Ms. Trodglen has developed a focused interest in the field of Infectious Diseases. Angela is a Florida native and grew up in Vero Beach.
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Dr. Raja Talati
MD, MSc, MBA, FAAFP, CMIO
Dr. Talati is an adaptable healthcare administrator and clinician with a proven track record of integrating new healthcare delivery systems and navigating complex regulatory environments. With a focus on ensuring health management goals are met for the betterment of communities, Dr. Talati holds a Doctor of Medicine from Ross University School of Medicine and has completed an MBA in Healthcare Analytics from the University of South Florida and a Master of Science in Healthcare Informatics from the University of Illinois. Their skills include proficiency in primary care, medical staff management, total quality improvement, strong interpersonal communication, and sound clinical judgment. With extensive experience in various leadership roles, including Chief Medical Information Officer and Assistant Chief Medical Officer, Dr. Talati has overseen medical operations, IT needs, and quality improvement initiatives in both clinical and non-profit settings. In addition to their clinical and administrative roles, Dr. Talati has served in the Air Force Reserve as Chief Health Information Officer and Flight Surgeon, demonstrating adaptability and leadership in demanding environments, including during the COVID-19 pandemic. Committed to education, Dr. Talati holds academic appointments as a Clinical Assistant Professor at Florida State University College of Medicine and Nova Southeastern University College of Osteopathic Medicine. They are actively involved in professional affiliations such as the American Academy of Family Physicians and serve as a board member for the Treasure Coast Food Bank, reflecting their dedication to community health beyond clinical practice.
Dr. Raja Talati
MD, MSc, MBA, FAAFP, CMIO
Dr. Talati is an adaptable healthcare administrator and clinician with a proven track record of integrating new healthcare delivery systems and navigating complex regulatory environments. With a focus on ensuring health management goals are met for the betterment of communities, Dr. Talati holds a Doctor of Medicine from Ross University School of Medicine and has completed an MBA in Healthcare Analytics from the University of South Florida and a Master of Science in Healthcare Informatics from the University of Illinois. Their skills include proficiency in primary care, medical staff management, total quality improvement, strong interpersonal communication, and sound clinical judgment. With extensive experience in various leadership roles, including Chief Medical Information Officer and Assistant Chief Medical Officer, Dr. Talati has overseen medical operations, IT needs, and quality improvement initiatives in both clinical and non-profit settings. In addition to their clinical and administrative roles, Dr. Talati has served in the Air Force Reserve as Chief Health Information Officer and Flight Surgeon, demonstrating adaptability and leadership in demanding environments, including during the COVID-19 pandemic. Committed to education, Dr. Talati holds academic appointments as a Clinical Assistant Professor at Florida State University College of Medicine and Nova Southeastern University College of Osteopathic Medicine. They are actively involved in professional affiliations such as the American Academy of Family Physicians and serve as a board member for the Treasure Coast Food Bank, reflecting their dedication to community health beyond clinical practice.
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Who We Help
Our clinic treats patients at every stage of disease.
Newly Diagnosed
If you've recently tested positive for hepatitis B or C, we'll walk you through what your diagnosis means, what testing is needed to understand your liver health, and what treatment options are available — clearly and without alarm.
Living With Untreated Hepatitis
Many people live with hepatitis B or C for years without treatment — either because they weren't aware of treatment options or faced barriers to access. It's not too late to start. Modern therapies are far more effective and tolerable than older regimens.
HIV / Hepatitis Co-Infection
Patients living with HIV who also have hepatitis B or C require specialized care that addresses both infections simultaneously. Our infectious disease team manages co-infected patients with the depth of expertise both conditions demand.
Transferring Care
Moving your hepatitis care to a new provider is straightforward. We'll review your prior records, continue or adjust your current management plan, and provide coordinated follow-up — including any needed imaging or referrals.
What to Expect at Your First Visit
Getting the right evaluation is the first step toward effective treatment.
Schedule Your Appointment
Call our Fort Pierce office at (772) 464-9746 or submit the request form. If you have prior lab results or records from another provider, bring them along — they help us understand where you are in your diagnosis and avoid duplicating tests already completed.
Diagnostic Evaluation & Lab Work
Your provider will review your health history and order any needed lab work — including viral load, genotype testing for hepatitis C, liver enzyme panels, and hepatitis antigen/antibody markers. For patients with known disease, we assess the degree of liver fibrosis to guide treatment decisions.
Treatment Plan & Medication Start
Once results are reviewed, your provider will discuss your treatment options in plain language. For hepatitis C, we'll select the right DAA regimen and handle any insurance prior authorization. For hepatitis B, we'll determine whether antiviral therapy is indicated now or whether monitoring is the appropriate first step.
Ongoing Monitoring & Follow-up
For hepatitis C patients on DAA therapy, follow-up labs are scheduled during and after treatment to confirm the virus is clearing. Cure is confirmed with a sustained virologic response (SVR) 12 weeks after completing treatment. Hepatitis B patients receive regular liver function monitoring on a schedule based on viral activity and treatment status.
Request an Appointment
Fort Pierce · Hepatitis B & C
Contact Us
356 E. Midway Rd
Fort Pierce, FL 34982
Clinic Fax
(772) 464-9750
Hours of Operation
New Patient Paperwork
After your appointment is confirmed, you'll receive a link to complete your intake forms online before your visit — from any device, no printing required.
Prefer Paper?
Download and print the forms below if you'd like to complete them by hand before your visit.
Patient Reviews
“Thank you Midway and staff for providing healing hands. It is rare that you find such kind and dedicated people. I'm forever grateful.”
— Steven C.