Midway Specialty Care Center · Fort Pierce, FL
HIV Care in Fort Pierce, Florida
Board-certified infectious disease specialists providing personalized HIV treatment and long-term care — in a private, judgment-free environment.
HIV Care in Fort Pierce
Expert HIV Treatment Close to Home
Living with HIV today looks very different than it did even a decade ago. With the right care and treatment, people with HIV can live long, healthy lives — and achieving an undetectable viral load protects both your health and the health of your partners.
At Midway Specialty Care Center in Fort Pierce, our infectious disease physicians bring focused expertise to HIV management. Unlike a general practitioner, our providers work exclusively in infectious disease — which means your HIV care is built on deep, current clinical knowledge, not divided attention.
Whether you were recently diagnosed, transferring care, or returning to treatment after time away, we're ready to build a plan that fits your life.
What HIV Care at Midway Includes
Your care is comprehensive, coordinated, and built around your goals.
Antiretroviral Therapy (ART)
ART is the cornerstone of HIV treatment. Your provider will select a regimen based on your viral strain, tolerance, and lifestyle — with the goal of reaching and maintaining an undetectable viral load. We stay current with the latest FDA-approved treatments, including long-acting injectable options that eliminate the need for daily pills.
Viral Load & CD4 Monitoring
Regular lab work is essential to evaluating how well your treatment is working. We monitor your viral load (the amount of HIV in your blood) and CD4 count (a measure of your immune strength) on a schedule tailored to where you are in treatment. Early detection of changes means faster adjustments — keeping your health on track.
Medication Management & 340B Access
Antiretroviral medications can be expensive, but our participation in the federal 340B Drug Pricing Program allows us to provide HIV medications at significantly reduced costs. Our care team also works with pharmaceutical assistance programs and insurance plans — so cost is never a reason to skip treatment.
Resistance Testing
HIV can develop resistance to certain antiretroviral medications over time. Resistance testing helps identify which drugs will be most effective for your specific strain, allowing your provider to select or adjust your regimen before resistance becomes a barrier to an undetectable viral load.
Case Management & Social Support
Medical care is only one piece of the puzzle. Our case managers connect patients with insurance enrollment assistance, Ryan White Program support, housing resources, transportation, mental health referrals, and community services. We understand that life circumstances affect health — and we work to remove barriers to care.
Your Care Team in Fort Pierce
Board-certified infectious disease specialists dedicated to your long-term health.
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 Fort Pierce clinic welcomes patients at every stage of their HIV journey.
Newly Diagnosed
A positive diagnosis can feel overwhelming. Our team will walk you through exactly what your diagnosis means, what treatment involves, and what to expect — with honesty, compassion, and no judgment.
Transferring Care
Moving your HIV care to a new provider doesn't need to be complicated. We make it easy to transfer records, continue your current regimen, or explore new treatment options if you're ready for a change.
Returning to Care
Life happens. If you've been out of care — for any reason — we won't ask for explanations. We'll simply meet you where you are and work with you to get back on track safely and without pressure.
Long-Term Management
For patients already thriving on ART, we provide consistent long-term monitoring, medication reviews, and proactive management of HIV-related health considerations as you age.
What to Expect at Your First Visit
Getting started is straightforward. Here's how your care begins.
Schedule Your Appointment
Call our Fort Pierce office at (772) 464-9746 or submit the request form. Our staff will help identify the right appointment type, answer any intake questions, and let you know what to bring.
Medical History & Baseline Labs
Your provider will conduct a thorough medical history review and order baseline laboratory tests — including HIV viral load, CD4 count, resistance testing if needed, and a full metabolic panel. These results form the foundation of your individualized treatment plan.
Your Treatment Plan
Once labs are reviewed, your provider will discuss your treatment options in plain language. Together, you'll decide on an ART regimen that balances effectiveness, side effect profile, and your daily routine. If you're already on ART, we'll evaluate whether your current regimen is optimal.
Ongoing Monitoring & Follow-up
HIV care is a long-term relationship. Follow-up appointments are typically scheduled every 3–6 months, with labs reviewed at each visit to confirm your viral load remains undetectable. Your care team is reachable between visits for questions, prescription refills, and concerns.
Request an Appointment
Fort Pierce · HIV Care
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
“You saved MY LIFE. Period. Thank you for taking good care of us. To your patients, you are a hero.”
— David H.