Alexandra “Xandra” Valby, PA-C
Xandra Valby is a board-certified Physician Assistant who brings a deep connection to both her field and the community she serves. A proud Florida native, Xandra earned her Master of Physician Assistant Studies from the University of South Florida Morsani College of Medicine in 2025, following a Bachelor’s degree in Biomedical Sciences from USF in 2019.
Xandra’s journey with our practice began years before becoming a PA—she spent three years as a dedicated medical scribe and medical assistant, and also completed two clinical ENT rotations here during her training. Her long-standing relationship with our team gives her a unique understanding of patient care and continuity within ENT medicine.
Outside of work, Xandra enjoys exploring new restaurants (especially sushi spots), traveling and boating with her fiancé and family. Her passion for helping others and love for her home state are reflected in the compassionate care she provides to every patient.
Xandra currently sees patients at our Wesley Chapel - Cashford Circle 27406 and Trinity Office - Short Branch Drive. If you are interested in making an appointment with Xandra, or would like additional information about our practice, please contact our office at 813-994-8900.
For more information please visit us at http://www.ScotchENT.com
Danielle Perez, APRN
Danielle Perez, APRN, was born and raised in Miami, FL. She earned her Master of Science in Nursing from Barry University. She is certified by the American Academy of Nurse Practitioners (AANP). Before becoming a Nurse Practitioner, she gained valuable experience in gerontology, pediatrics and post-anesthesia care.
Danielle is a dedicated and compassionate healthcare professional committed to delivering high-quality care and patient education while fostering meaningful relationships.
In her free time, she enjoys spending quality time with family and friends, traveling, watching a good TV show, and playing with her two dogs, Duke and Jax.
Danielle Perez currently sees patients in our Miami - SW 40th St. office. If you are interested in scheduling an appointment with Danielle or would like additional information about the practice, please contact our Miami - SW 40th St. office at 305-707-9448.
Clara McNamara, PA-C
Clara is originally from Poughkeepsie, NY, and made her way down to Pennsylvania where she earned her undergraduate degree from Ursinus College in health and exercise physiology. She spent most of her time in the exercise research lab as well as at the pool, where she became an All-American swimmer in multiple events.
Prior to physician assistant (PA) school, she became acquainted with the medical field as a medical scribe in emergency departments, where she fell in love with medicine and realized the difference she could make in her patients’ lives.
She graduated PA school from West Chester University of Pennsylvania’s inaugural class, where she led her class as President and completed specific training in the field of otolaryngology (ENT). She capped off her studies with a master’s project focused on teaching her peers the approach to managing a patient with hearing loss. She began her ENT career in Gaithersburg, MD prior to moving to the Panhandle.
Clara currently lives in Niceville with her husband and dog. They enjoy swimming, hiking and exploring new restaurants with friends. Feel free to let her know your favorite recommendations in the area! She is so excited to contribute her efforts to assist Dr. McWilliams, ENT and Allergy Associates of Florida, and the patients that they serve.
Clara currently sees patients in our Niceville/Bluewater Bay office. For further information please call Dr. McWilliams’ team at Mid Bay ENT, a division of ENT and Allergy Associates of Florida, at 850-622-5148 for any of your ENT needs.
Iván Pérez Hernández, APRN
Iván Pérez Hernández graduated as a General Physician in Cuba in 1996 and worked as a family doctor for two years in community areas. He emigrated to Mexico where he revalidated his studies as a general practitioner - qualified as a Midwife Surgeon, later in 2003, he completed a fellowship in ophthalmology at Hadera City, with the support of Hadassah University, from which he graduated as a general ophthalmologist. He returned to Mexico for 3 years and emigrated to the United States later. In 2012, he began his studies in Nursing Sciences and completed his Master's Degree in nursing as a Family Nurse Practitioner at Turabo University in Broward County, Florida.
Mr. Hernández is certified by the American Academy of Nurse Practitioners in Family Medicine. He joined the Portela ENT group in Miami in 2018. As an integral member of our team, his goal is to provide greater access to high-quality specialized care with the same standard and style of care as Dr. Rafael Ramón Portela and Dr. Rafael Antonio Portela, since he collaborates closely in patient care.
Ivan Perez Hernandez currently sees patients in our Miami - SW 40th St. office. If you are interested in scheduling an appointment with Mr. Ivan Hernandez or would like additional information about the practice, please contact our Miami - SW 40th St. office at 305-707-9448.
Amanda Sapp, APRN, FNP
Amanda Sapp, APRN, FNP is a nurse practitioner, board certified with the American Academy of Nurse Practitioners. She’s a native of Northwest Florida. She obtained her nursing degree in 2008 and later obtained her masters degree in nursing from South University in 2017. Throughout her 16 year nursing career she’s worked in emergency medicine, orthopedic trauma, family medicine and gastroenterology.
Amanda has been providing care as a nurse practitioner to the residents of Bay County and surrounding counties since 2018. She hopes to continue to provide evidence-based care along with her team, Dr. Brian Gibson and Britney Gore, APRN.
Amanda currently sees patients in our Lynn Haven - Gulf Coast Facial Plastics & ENT Center office. If you are interested in making an appointment with Amanda or would like additional information about the practice, please contact our Lynn Haven office at 850-784-7722.