TFG Client Spotlight – Dr. Jay Ajmo, PGA Dentistry & Jupiter Dentistry

Our February client in the spotlight is the distinguished and award-winning dentist, Dr. Jay Ajmo, DDS, DABOI, DICOI. Dr. Ajmo has just shared the exciting news that he has expanded his practice for sedation dentistry and minimally invasive dental implants offered at PGA Dentistry and opened a Jupiter location. Now you can also “Change Your Smile, Change Your Life” conveniently at Jupiter Dentistry if you live in North Palm Beach County!

Choosing the right dentist can make all the difference in your appearance and your overall health. It can even affect your ability to eat and speak properly. Just like PGA Dentistry, the staff at Jupiter Dentistry is dedicated to the highest standard of care. The professional care team is led by Dr. Ajmo, at this state-of-the-art facility who is committed to delivering the best experience possible. Dr Ajmo works closely with Dr. Jessica Wyatt in the Jupiter office. They both use the latest technology to provide the safest, most effective, and most comfortable care possible like 3D CT scans, digital x-rays, and lasers. If you suffer from dental anxiety, there are IV sedation services available for all procedures. Patients can receive the dental care they need in a private treatment room without having to feel nervous or worried.

Patients choose Dr. Ajmo and Dr. Wyatt because they are well known for exceptional restorative dentistry services, stunningly beautiful smile makeovers, and comprehensive dental implant services.

Dr. Jay Ajmo has been practicing cosmetic, implant, and reconstructive dentistry in Palm Beach Gardens since 1987. He is committed to continuously updating his skills and techniques and has earned post-doctorate credentials and internationally recognized certifications in cosmetic dentistry, dental implant surgery, and reconstructive dentistry. Dr. Ajmo also holds a Mastership from the Misch International Implant Institute. Voted “South Florida’s Most Distinguished Cosmetic Dentist” by The Best of South Florida and a “Top Doctor” by Consumer Research Counsel of America, Dr. Ajmo is one of only 400 dentists in the USA to hold a Diplomate Certification with the American Board of Oral Implantologists. Dr. Ajmo’s passion for his patients is evident in the quality of his care and patient referrals that extend throughout South Florida, and even across the globe in Europe.

Dr. Jessica Wyatt graduated from the University of Miami with a Bachelor’s of Science in Chemistry and Biology. She earned her Doctor of Dental Surgery from Columbia University College of Dental Medicine in New York, New York. Dr. Wyatt is an active member of the American Academy of Cosmetic Dentistry, the America Academy of Facial Esthetics and the Academy of General Dentistry. Dr. Wyatt’s areas of focus are in cosmetic & restorative dentistry. She’s also proficient in all forms of the most extensive non-surgical and non-invasive facial injectables.

No matter what your age or your dental needs, if your New Year’s resolution included a promise to yourself of a smile makeover and healthier set of teeth, either Jupiter Dentistry or PGA Dentistry is the right choice for exceptional results in restorative, cosmetic, and implant dentistry. Both locations are dedicated to improving patients’ quality of life with beautiful, healthy, teeth and smiles that they can enjoy for a lifetime.

Visit www.jupiterdentistry.com to explore the full range of options and services available to you such as: single or multiple tooth replacements, implants, crowns, bridges, dentures, full mouth reconstructions, oral surgery, root canal therapy and so much more. And don’t forget to ask the staff about “Teeth Next Day,” the exciting new zirconia implant bridge which is the ultimate in full-arch dental restorations. Jupiter Dentistry is conveniently located in the Three Palms Plaza at 2151 Alternate A1A South, Suite 1300, in Jupiter, FL 33477. Call (561) 250-0995 for hours and appointments available.

Of course you can still get the full range of options and services available from Dr Ajmo and his team at PGA Dentistry in Palm Beach Gardens. The office is located at 7100 Fairway Dr #59, Palm Beach Gardens, FL 33418. For hours and appointments visit www.pgadentistry.com or call (561) 468-5565 or 561-627-8666.

The Fuoco Group is proud to provide Dr. Jay Ajmo a full range of tax and accounting services, as well as a 360 degree business and financial advisory program for both his locations as part of our “new financial dialogue.” Become a part of the Fuoco client family and enjoy the benefits of our expertise. We are more than just accountants, we are trusted business advisors that will beat your expectations.


TFG Client Spotlight – Dr. Ivy Faske, My Personal Pediatrician

Fuoco group is proud to announce that our latest client in the spotlight is the award-winning pediatrician of Jupiter and the Palm Beaches, Ivy Faske, MD.

According to experts the most important things to consider when choosing a pediatrician are: credentials, experience, current best practices, confidence in their philosophy of care, and how your doctor interacts with your child or newborn. Dr. Ivy Faske has it all, as well as a special superpower: “…..the ability to keep the parents calm as well as the child.”

In fact, it was a “cool, calm, and collected” pediatrician that inspired Ivy to take the leap into medicine. As a little girl, she was fascinated by what the doctor was doing and why. As a new medical student at the University of South Florida, Ivy was hooked on pediatrics the day she worked with a pediatrician who was able to calm a child in order to examine them, and then cared for them with compassion and cured them with skill. That was in 1982!

Fast forward to current times and Dr. Faske has been in private practice in Palm Beach Gardens for more than 33 years. Dr. Faske is a Fellow of The American Academy of Pediatrics. She served for 6 years as Chief of Pediatrics for the Palm Beach Gardens Medical Center, and was a past president of the Palm Beach Pediatric Society.

It is her devotion to her patients, and the desire to share the skills she developed over the years, that was her inspiration to write her book, “They Do Come With Instructions!” It chronicles years of diagnosis and observations about the physiology, care and development of newborns to young children. It features photos of Dr. Faske’s patients throughout the years so that you can easily identify newborn rashes, sore and strep throats, chicken pox, conjunctivitis, fifth disease, eczema, hives, poison ivy, ringworm, and so much more. It also includes vaccine information sheets for all routine childhood vaccines.

Florida born and raised, Dr. Faske is originally from Miami. She now calls Palm Beach Gardens home. Giving back to the healthcare community in which she works and lives has always been a priority for Dr. Faske. Over the years she has served as President of the Palm Beach County Medical Society, and currently is President of the PBCMS Services, which is the charitable arm of the Society.  Dr. Faske was the Chair of the Women Physicians section of PBCMS, and won the Women in Medicine Leadership Award in 2008. In 2015, the PBCMS presented her with its Humanitarian Award during the Heroes in Medicine Celebration. Dr. Faske was the recipient of the Society’s coveted Excellence in Medicine Award in 2019.

Dr. Faske has been voted by her peers as a “Top Doctor” in Palm Beach County almost every year since 1998. In 2020, the readers of the Palm Beach Post and community at large voted her the “Best Pediatrician” in Palm Beach County. What continues to inspire this award winning pediatrician and leader in the medical community? In Dr. Faske’s own words: “I love seeing children develop through the years, and hope that by having good experiences at the doctor while they are young, they will continue to seek proper care as an adult.”

Dr. Faske’s hospital affiliations include Jupiter Medical Center and St. Mary’s Medical Center. Her office is conveniently located at 11211 Prosperity Farms Road, Suite A102, in Palm Beach Gardens, Florida. The office phone number is (561) 626-4677, and she can be emailed at Office@mypersonalpediatrician.com. Oh, and just in case you need a baby shower gift, Dr. Faske’s book website is: www.theydocomewithinstructions.com. For more information visit http://www.mypersonalpediatrician.com/.

The Fuoco Group is proud to provide Dr. Faske with a customized range of tax and accounting services, as part of our “new financial dialogue.” Become a part of the Fuoco client family, and enjoy the benefits of our expertise. We are more than just accountants, we are trusted business advisors that will beat your expectations.


TFG Client Spotlight – Marciano Family Optometric

Our November client in the spotlight is Marciano Family Optometric and owners Drs. Mark and Brandee Marciano. Both are board certified optometric physicians who met during their fourth-year externship, and made a dream come true when they married and then built an optometric practice together that is now the leading provider of optometry services and vision care products in the greater West Palm Beach area.

“We believe life is all about your vision,” has been their motto since opening their doors in 2005. Dr. Mark Marciano has been practicing since 1999 and performs comprehensive eye exams and specializes in the management of ocular disease; including, cataract, glaucoma and refractive surgeries. Dr. Brandee Owens Marciano has also been practicing since 1999 and has extensive training in the co-management of refractive surgery and in pediatric eye care. She performs comprehensive eye exams and specializes in contact lenses, vision therapy and ocular disease management.

Marciano Family Optometric offers vision examinations to families from the young through the young at heart and specializes in the diagnosis and treatment of a wide array of eye diseases, conditions, and problems. It is their mission to provide the best eye care services possible, using only the most advanced, state-of-the-art diagnostic technology and eye care products available. They and their entire staff are committed to educating patients and providing high-quality, personalized eye care. The office is located at 1788 North Jog Road, West Palm Beach, Florida. Appointments can be made by calling 561-242-1200. More information on products, services, and staff, can be found at www.drmarciano.com.

Marciano Family Optometric has some exciting news to share, the addition of their new second location “Marciano Family Vision Associates” is on the way! Mark and Brandee purchased the practice of Dr. Michael Haugen located at 11380 Prosperity Farms Rd., in Palm Beach Gardens. Renovations are almost complete, state-of-the-art diagnostic equipment is being installed, and they anticipate opening Marciano Family Vision Associates in early December.

You may recognize Mark from his photo because he also serves as a Palm Beach Gardens City Councilman. Mark is also a Senior Trustee to the Florida Optometric Association. Both doctors are very involved in their community and the Society of Optometrists, they have both served as Past President of the Palm Beach County Optometric Association. Mark and Brandee live in Palm Beach Gardens where they are raising their two sons.

TFG is proud to provide Drs. Mark and Brandee Marciano, and Marciano Family Optometric, with a customized range of accounting services as part of our “new financial dialogue.” Become a part of the Fuoco Group and TFG Health client family, and enjoy the benefits of our expertise. We are more than just accountants, we are trusted business advisors that will beat your expectations.


Why Financial Planning Is A Challenge For Physicians

Like everyone else, doctors are concerned they are not saving enough money to retire on. However, there are many factors that set physicians apart from the average American trying to plan for their retirement. First, due to their grueling schedules doctors have less time than the average individual for financial planning.

Second, the cost of regulation and compliance is growing and that is increasing business expenses and disrupting cash flow. Third, reimbursements are decreasing and that negatively impacts income. What else distinguishes doctors from other folks hoping to safeguard their financial future? Plenty! Here is why healthcare professionals and clinicians need more than the general investment advice found on Google and in newspaper and magazine articles:

It takes more time to establish their healthcare practice. Medical school, residency, and fellowships – a doctor’s career takes longer to get started, and it takes longer for their medical practice to become established. Add to that early retirement due to burnout and the staggering amount of student loan debt, it’s no wonder there is less time to save what’s needed for retirement.

Higher income may require more complex investments. Tax efficient investing is a priority for physicians who traditionally make higher incomes, and often juggle brokerage accounts, Roth IRAs, life insurance and annuities, and outside retirement plans. It is important to consider tax-advantaged and tax-exempt investments and know how to access funds in the most efficient way during retirement.

An asset protection plan is needed. Medical malpractice lawsuits loom large and doctors in every profession need to plan ahead for the possibility of an adverse event as well as for disability. Income and retirement savings need protection, and long term care must be considered. A risk assessment is needed and an insurance audit for yourself and your family as well as for your practice.

A long term exit strategy is essential. Transition models can include selling your practice and all related assets outright or a partial sale of the practice assets only while retaining ownership of hard assets, such as the building and land, which can generate ongoing income.

Job security is a myth. Group contracts are not always renewed by facilities, and some physicians are being replaced by mid-level providers to contain costs. Leverage that physicians once had as a unique and powerful brand is fading. Even a doctor who is the head of a department or a key faculty member is subject to the whims of a large bureaucracy or big corporation just as much as the rest of us these days. And as the economy goes (or the insurance provider) – so goes the elective surgeries. Medicine is not recession proof.

Spending habits are hard to break. Lifestyle choices can be difficult, but budgets work for a reason. Financial goals need to be aligned with spending and financial habits like saving.

Financial planning for physicians is a specialized area of practice that requires an understanding of the unique financial challenges facing doctors today. Healthcare practitioners need to take a wellness approach to their financial health and that includes an annual financial check-up! Do you have access to adequate resources for emergencies or opportunities? A comprehensive financial plan for a physician from residency to retirement would include:

•    Financial Statements,
•    Income Tax Planning,
•    Insurance and Asset Protection,
•    Debt Analysis and Management,
•    Budget and Cash Flow Management,
•    Tax Efficient Investment Planning,
•    Business Loan Procurement,
•    Employee Benefits Planning,
•    Retirement Planning, and
•    Estate Planning

Contact the healthcare experts at TFG – we are more than just accountants and tax experts, we are medical practice consultants and business advisors. We understand your struggles with variable income, compliance issues, payors, and the changing landscape of medicine. Take advantage of our 20+ years of experience whether you are a physician, surgeon, chiropractor, dermatologist, dentist, podiatrist, pharmacist or other niche healthcare provider.