Meet the experienced team
at Elite Spine Health & Wellness.

Our team is dedicated to each and every patient and their comprehensive, preventative
spinal health care and wellness needs.


Chief Operating Officer

Michelle is a Registered Nurse who has specialized in pediatric spine deformity for more than 10 years and adult spine for the last 3 years. Her role on my team continues to grow and evolve. For the last few years, Michelle has been dedicated to developing our research, training, educational and outreach platforms to ensure the best outcomes for our patients. She writes, designs and implements research studies to improve the lives of our current as well as future patients. She reviews radiographic studies to identify patients that would qualify and benefit from patient specific implants and coordinates their care. She continuously reviews our patient education materials and updates them as needed. Michelle manages our surgical training & research bioskills facility dedicated to educate and train surgeons on novel surgical techniques and equipment. Additionally, Michelle assists with the coordination of my outreach and philanthropic interests which includes, Global Spine Outreach (GSO) and Paddle boarding for Cystic Fibrosis. GSO is nonprofit organization dedicating to transforming the lives of children with complex spinal deformities around the world.

Michelle stays as busy out of the office too. She’s a devoted wife and mom to a very active little girl. She loves to travel, cook, stay active and help others. One of her passions is Camp UOTS; a camp week long camp for children in S. Florida who have completed or are currently undergoing treatment for childhood cancer.


Nurse Educator & Surgical Liaison

Liane is our surgical coordinator, educator and nurse with over 16 years of experience. She has worked alongside Dr. Asghar in the clinic and surgical setting since 2009. She is a devoted mother, wife and pet owner, which are roles that she keeps close to the heart. She is committed to the success of the surgical patients and removing the stress, anxiety and fear out of having surgery. She handles all the scheduling, coordinating and educating of the surgical patients preoperatively and postoperatively. She customizes each surgical experience to the patients to be a personable, healthy and successful surgical process.


Physician Associate

Priscila Gamiotea is a board certified physician assistant who has been in the orthopedic spine surgery field for 5 years now. She graduated with bachelors in biomedical sciences from the university of south Florida and then completed her masters in physician assistant studies at Florida international university.

Priscila’s compassion, thoroughness, attention to detail, and commitment to her patients have given her a loyal patient base. Her goal is to make sure her patients have a smooth pre and post op process so that they can get back to doing the things they love to do.


Physician Associate

Veronica Azcuenaga earned my associates in Radiography and worked as an x-ray and MRI tech for 7 years at an Orthopedic and Spine office before going on to PA school. I earned my Masters of Science in Physician Assistant Studies from Florida State University. My Orthopedic and Spine background in x-ray and MRI has given me much knowledge and experience to continue to care for patients with spine conditions such as scoliosis, degenerative disc disease and kyphosis.


Wellness Director

Ms. Prendes earned her bachelor’s degree in nursing from the University of Miami. Her Master of Science degree in nursing was completed at Florida International University in Miami. She then completed a post master’s degree as a Family Nurse Practitioner at the University of Massachusetts. She is an advanced practice nurse practitioner in pediatric and adult where she sees patients affected by conditions such as back pain, scoliosis, kyphosis, spondylolysis, and spondylolisthesis as well as conducts follow-up visits for post-operative posterior spinal fusion surgery and scoliosis bracing. Her clinical interests encompass not only spinal conditions but holistic healing using conventional medicine and alternative therapies to heal the patient.

Mrs. Prendes is a bilingual board-certified advanced nurse practitioner, certified in Advanced Pediatric nursing by the American Nurses Credentialing Center (ANCC) and certified as Family Nurse Practitioner by the American Academy of Nurse Practitioners (AANP).

She enjoys spending time with her husband and two daughters and enjoys living a healthy lifestyle by working out, eating healthy and doing outdoor activities.

Dr. Alfredo Guiroy

Director of Research

Dr. Alfredo Guiroy specializes in the research of spine and spinal cord surgery, minimally invasive spine surgery, and spinal deformities. He is dedicated to advancing quality spine care through education, and research and improving how spine surgery is completed and patient outcomes.

With over 53 scientific papers published and 4 book chapters with evidence-based research, Dr. Guiroy is a leading research specialist in the advancement of spine health, spinal surgery, and the development of emerging spinal technologies.


Health & Wellness Coordinator

Lindsay is the Health & Wellness Coordinator for Elite Spine & Wellness. Health, wellness, & overall fitness have been key facets throughout Lindsay’s life.
As a child, she was a competitive club gymnast competing nationally from age 6-14. At age 11 a back injury (L5-S1 pars fracture & spondylolisthesis, required a period of recovery before a full comeback.   During college, Lindsay got involved in competitive CrossFit competing in multiple elite-level competitions. Along with coaching CrossFit and other group fitness classes, Lindsay expanded her coaching skillset during this period becoming a CFL1.
After college, a car accident in 2019 disrupted the stable congenital spondy that occurred in her youth. During this time she began the OPEX coaching certificate program which allowed her to dial in a specific exercise, lifestyle, and nutrition behaviors for her specific needs. Lindsay believes in an individualized approach to health & wellness, taking great care and meticulous detail into ensuring that each of her clients receives training and nutrition that best suits their bodies and lifestyle.