Now booking longevity consults · 1120 S Federal Hwy, Ste 200, Delray Beach, FL 33483 · 561.440.8020
Delray Skin, Integrative Skin and Wellness Studio
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Dr. Avi · Functional Medicine · Delray Beach

You feel different. Your labs say you’re fine.

Meet Dr. Avi, a board-certified internist who looks beyond routine bloodwork to understand why. Two unhurried visits, real testing, and a plan with a doctor who stays with you.

Fatigue Weight changes Brain fog Poor sleep Hormone changes Bloating Inflammation
Board-certified internist Concierge, self-pay care New patients welcome
Request an appointment

Start with a conversation

Tell us what you would like to work on. Our team replies personally, usually the same business day.

Name
Physician-led plans Advanced lab testing DEXA body composition Hormone optimization 1120 S Federal Hwy, Ste 200 Delray Beach
Why Delray Skin

Answers, not just prescriptions

If you have been told everything looks normal but you do not feel normal, this is the visit you have been missing. We look for what is actually driving how you feel, then build a plan to address it over time.

01

Root-cause approach

We map symptoms, history and labs together to find the pattern behind them, then treat that, not the symptom in isolation.

02

Comprehensive testing

Advanced labs, hormone panels, food sensitivity workups and DEXA body composition give us a clear, personal picture.

03

A real plan for you

Time-rich visits and a plan built around your body, your goals and your life, reviewed and adjusted as you progress.

What it supports

Feel and function at your best

Choose what sounds most like you, and we will start your request there.

Energy and fatigue Hormones and perimenopause Weight and metabolism Gut and digestive health Sleep and stress Longevity and prevention
What to expect

The Deep Dive, start to finish

01

Visit one: the workup

An unhurried visit with Tara Koth, RN and Dr. Lewis, built around your full history, symptoms and goals. The right labs are ordered and DEXA is scheduled.

02

Between visits: testing

Labs are drawn and body composition is measured, so by the second visit we have the full picture, not a guess.

03

Visit two: results and the plan

Dr. Avi walks you through every number and sets the plan, built to the budget you told us. From there the plan continues on the Concierge Wellness Membership.

What you get

The Deep Dive, and what comes after

We do not do one-time checkups. The Deep Dive is the start of a relationship with a physician who stays with you, and the Concierge Wellness Membership is how that relationship continues.

Step one

The Deep Dive includes

Visit one with Tara Koth, RN and Dr. Lewis: your full history and what you want to change

The right labs, ordered for you, not a standard panel

DEXA body composition: muscle, fat and bone, not a number on a scale

Visit two with Dr. Avi: every result explained in plain English

A written action plan, built to the budget you gave us

Your Delray Skin recommendations folded into the same plan

Step two

The Concierge Wellness Membership carries it forward

Ongoing visits with Dr. Avi, with the plan adjusted as your numbers change

An annual integrative dermatology visit with Dr. Lewis

Two acupuncture visits with Dr. Diana Abovsky

Member pricing on Delray Skin services, hyperbaric oxygen, supplements and skincare

A membership of your choice at member pricing, so skin and scalp care live in the same plan

One team who already knows your history, every time you walk in

About the membership

Self-pay, not billed to insurance. Our concierge will walk you through the investment before you book.

What we help with

Symptoms and conditions we see every week

Most people arrive with a list rather than a diagnosis. These are the concerns patients most often bring to Dr. Avi. If yours is not listed, it is still worth a conversation.

Energy and fatigue

  • ·Tiredness that sleep does not fix
  • ·Afternoon energy crashes
  • ·Brain fog and poor concentration
  • ·Slow recovery after exertion or illness

Hormones and perimenopause

  • ·Perimenopause and menopause symptoms
  • ·Hot flashes, night sweats and disrupted sleep
  • ·Irregular or changing cycles
  • ·Low libido, mood shifts and irritability
  • ·Thyroid concerns and low thyroid symptoms

Weight and metabolic health

  • ·Weight that will not move despite real effort
  • ·Insulin resistance and blood sugar swings
  • ·Cholesterol and blood pressure trending the wrong way
  • ·Body composition and muscle loss

Gut and digestive health

  • ·Bloating, gas and abdominal discomfort
  • ·Reflux and indigestion
  • ·Constipation, irregularity or urgency
  • ·Suspected food sensitivities and reactions

Sleep, stress and mood

  • ·Trouble falling asleep or staying asleep
  • ·Burnout and feeling wired but tired
  • ·Stress that has stopped feeling manageable

Skin driven from the inside

  • ·Adult acne and hormonal breakouts
  • ·Rosacea and redness that keeps flaring
  • ·Eczema and stubborn dryness
  • ·Hair thinning and shedding

Longevity and prevention

  • ·A family history you want to get ahead of
  • ·Cardiovascular and metabolic risk
  • ·Inflammation and advanced lab markers
  • ·Bone density and DEXA body composition

When everything looks normal

  • ·Labs read as normal but you do not feel normal
  • ·Symptoms treated one at a time, never together
  • ·Wanting a plan rather than another prescription

Functional medicine at Delray Skin is physician led and works alongside your existing care, not instead of it. We do not replace emergency or specialist treatment.

Dr. Avianne Hospedales, MD, board-certified internist at Delray Skin in Delray Beach
Meet your physician

Dr. Avianne Hospedales, MD

Board-Certified Internist

Dr. Hospedales, known to her patients as Dr. Avi, practices preventive, personalized and precision medicine. She blends conventional internal medicine with a functional approach, so the plan you leave with addresses what is actually driving how you feel.

Trained in New York City and formerly a clinical leader within a national value-based care organization, she has cared for thousands of patients. Her conviction about early detection and root-cause care is personal, and it shapes every visit.

&Personalized prevention and early detection

&Hormone optimization across every life stage

&Energy, resilience and metabolic health

&Longevity planning for people who intend to stay well

How it works

You tell us your concerns. We build the plan.

First, tell us what is going on

Fatigue, weight that will not move, brain fog, poor sleep, hormone changes, bloating. You describe it in your words, and what you are comfortable investing. We never hand you a menu.

Start here, whatever the symptom.

The Deep Dive: two visits, never one

Visit one is the workup with Tara Koth, RN and Dr. Lewis: your full history, the labs that actually matter, and DEXA body composition. Visit two is Dr. Avi walking you through your results and setting the plan.

Labs are drawn between the visits so the second one is the answer, not the intake.

Your plan, with a doctor who stays

The plan lives on the Concierge Wellness Membership: ongoing visits with Dr. Avi, adjustments as your numbers change, and the studio behind it. Built to the budget you gave us.

We do not do one-time checkups. We do relationships.

Start with the Deep Dive About the Concierge Wellness Membership
Why patients choose us

Physician-led, personal, and precise

Delray Skin is the integrative wellness extension of Delray Dermatology + Cosmetic Center, a self-pay studio in Delray Beach, so your care stays unhurried and fully centered on you.

Request your consult
Good to know

Questions, answered

Still unsure whether this is the right fit? Call the studio and we will tell you honestly.

561.440.8020

What is functional medicine?

It is a root-cause approach that looks at how your whole body works together, rather than treating symptoms in isolation.

What does it help with?

It is often used to support energy, hormones, gut health, sleep, metabolism, longevity and overall optimization.

Can Dr. Avi help with hormones or perimenopause?

Yes. Hormone optimization is one of her core areas. We test thoroughly, walk you through what the results mean, and adjust the plan over time rather than treating once and moving on.

Do you offer medically supervised weight management?

Yes. Care is physician led and includes nutrition and weight management visits with Christina Fred, APRN, plus DEXA body composition scanning so progress is measured objectively. Any medication is considered only where it is clinically appropriate for you.

Do you take insurance?

Delray Skin is a self-pay wellness studio, which keeps your care personal, unhurried and fully centered on you.

What kind of testing is involved?

It depends on your goals. During your consultation we will recommend the labs that make the most sense for you.

How do I get started?

Request a consult below or call the studio, and we will take it from there. We welcome patients from Delray Beach, Boca Raton, Boynton Beach, Highland Beach, Gulf Stream and across Palm Beach County.

Begin your care

Request your functional medicine consult

Share a little about what you would like to work on and our team will reach out personally to find the right time with Dr. Avi.

Delray Skin · 1120 S Federal Hwy, Ste 200, Delray Beach, FL 33483

561.440.8020

Serving Delray Beach, Boca Raton, Boynton Beach, Highland Beach, Gulf Stream, Lake Worth and Palm Beach County.

Request an appointment

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Meghan Frossi, LMT

Meghan Frossi, LMT, is a dedicated massage therapist with nearly a decade of experience. A Florida native raised in Delray Beach, she is an active member of her community and a mother of two. Meghan completed her massage therapy training at Boca Beauty Academy in 2017.

She utilizes a versatile approach to bodywork, tailoring each session to the unique needs of her clients. Her expertise ranges from gentle touch to deep tissue pressure, ensuring a personalized and restorative experience for those seeking pain relief or relaxation. 

Meghan specializes in lymphatic drainage, prenatal massage, and reflexology, in addition to traditional Swedish and deep tissue techniques.

Dr. Diana Abovsky

Dr. Diana Abovsky earned her Master of Science in Chinese Medicine from the American College of Traditional Chinese Medicine in San Francisco and later completed a doctorate in Chinese medicine at Five Branches University in San Jose, California.

She is a Florida-licensed Acupuncture Physician through the State of Florida Department of Health. Before pursuing Chinese medicine, Dr. Abovsky worked extensively in biomedical research and also taught a course in alternative medicine at the UCSF School of Medicine.

Dr. Abovsky focuses on treating chronic conditions including digestive, autoimmune, neurological, musculoskeletal and more. She is dedicated to Classical Chinese medicine as it was practiced since ancient times, recognizing its time-tested approach. She is passionate about integrative care and believes in collaborating with a team of medical providers as a key part of helping patients feel their best long term.

Mackenzie Beynon

Mackenzie Beynon is a certified hypnotherapist and transformational coach specializing in subconscious healing, emotional wellness, and mind-body balance. With training in hypnotherapy, NLP, EFT, Systemic Family Constellations, sound healing, and integrative healing arts, she creates a compassionate and personalized approach to helping clients release stress, shift limiting patterns, and reconnect with their inner calm and confidence. 

Mackenzie combines intuitive guidance with evidence-based techniques to support deep relaxation, emotional healing, and personal transformation.

Emily Jones, MSN, FNP-BC

Emily Jones is a board-certified family nurse practitioner specializing in dermatology-focused patient care, with clinical experience spanning dermatology, oncology, pulmonology, gynecology, and vascular surgery. 

She earned her undergraduate degree in health education from the University of Florida and her Master’s degree in nursing from the University of Miami. At Delray Dermatology she combines clinical dermatologic care with interests in fitness, nutrition, and preventative health to support patients in achieving long-term skin health and overall wellness. 

Tara Koth, RN, BSN

Tara Koth, RN, BSN, is a registered nurse at Delray Skin specializing in laser treatments, IV therapy, and integrative aesthetic care. She earned her Bachelor of Science in Nursing from the University of Detroit Mercy in 2018. Tara works extensively with advanced laser technologies, including Aerolase and AdvaTx, to address concerns such as acne, pigmentation, sun damage, and overall skin health across diverse skin types. 

She also provides customized IV therapy services, incorporating vitamin and antioxidant infusions to support skin health, energy, and overall wellness. Her clinical philosophy blends advanced technology with wellness-based care, focusing on inner and outer skin optimization to achieve balanced, healthy, and radiant skin.

Christina Fred, APRN

Christina works closely with both Dr. Lewis and Dr. Avi, bringing advanced training in functional and longevity medicine, root-cause care, dermatology, and nutrition.

She plays a key role in:
Supporting integrative dermatology and wellness visits
Guiding nutrition and lifestyle-based protocols
Helping patients implement and sustain personalized care plans.

Tara Koth, RN, BSN

Tara Koth, RN, BSN, is a registered nurse at Delray Skin specializing in laser treatments, IV therapy, and integrative aesthetic care. She earned her Bachelor of Science in Nursing from the University of Detroit Mercy in 2018. Tara works extensively with advanced laser technologies, including Aerolase and AdvaTx, to address concerns such as acne, pigmentation, sun damage, and overall skin health across diverse skin types. 

She also provides customized IV therapy services, incorporating vitamin and antioxidant infusions to support skin health, energy, and overall wellness. Her clinical philosophy blends advanced technology with wellness-based care, focusing on inner and outer skin optimization to achieve balanced, healthy, and radiant skin.

Victoria Giordano, CME

Victoria Giordano is a licensed aesthetician at Delray Skin, specializing in advanced skincare treatments and lash and brow services. She received her aesthetics license from Boca Beauty Academy in Boca Raton in 2020. Victoria has spent the past five years specializing in lash artistry, focusing on enhancing each client’s natural features through customized lash and brow services. 

In addition to lash extensions and brow treatments, she performs personalized facials and head spa treatments designed to promote healthy skin, relaxation, and overall scalp and skin wellness.Her approach to aesthetics focuses on tailored treatments that support both skin health and natural beauty, combining results-driven skincare with a relaxing, elevated client experience.