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Vice President and Executive Director of Clinic Services

Christopher F. Irizarry, MPA

Mr. Irizarry is an Officer with the Health Care District of Palm Beach County, a diversified, public safety net health care system ensuring residents of Palm Beach County have access to health care services. Mr. Irizarry joined the Health Care District in 2013 as its FQHC Executive Director. He is responsible for the overall administrative and regulatory leadership of the ten C. L. Brumback Primary Care Clinic sites and oversight of the Health Care District’s Pharmacy Services Program. The Health Care District also operates a nationally-recognized trauma system, an acute-care rural hospital, a school health program which staffs more than 200 Registered Nurses in the county’s public schools, a skilled nursing facility, and health coverage programs for eligible, uninsured county residents. Previously, he served for seven years as the President and CEO of the North Hudson Community Action Corporation in Union City, New Jersey, the largest FQHC in the State of New Jersey. Mr. Irizarry received a Bachelor’s Degree from Rutgers University in Administration of Justice and he also holds a Master’s Degree in Public Administration from City University of New York.


FQHC Medical Director

Noelle T. Stewart, DO

Dr. Stewart serves as the Medical Director of the ten C. L. Brumback Primary Care Clinic sites. Previously she served as a provider at the Brumback Clinic location in Delray Beach. Dr. Stewart holds a Doctor of Osteopathic Medicine degree from Nova Southeastern University. She completed her residency training at Palm Beach Centre for Graduate Medical Education.


Assistant Medical Director

Ana Ferwerda, MD

Dr. Ferwerda, an OB-Gyn, provides support to the Medical Director and also provides gynecology and maternity services for Brumback Clinics’ patients. Previously, Dr. Ferwerda served as the Brumback Clinics’ Director of Women’s Health. Dr. Ferwerda, who is fluent in both English and Spanish, earned her Doctor of Medicine from Ponce Health Sciences University in Ponce, Puerto Rico. She served her residency at Allegheny Health Network in Pittsburgh, Pennsylvania where she was the Chief Resident of Obstetrics and Gynecology.


Director of Business Operations

Marcia Young, MHA, BA

As the Director of Business Operations, Mrs. Young is responsible for all business-related functions of the C. L. Brumback Primary Care Clinics. Mrs. Young previously served as the Director of Federally Qualified Health Center Operations. Mrs. Young joined the Health Care District of Palm Beach County in March 2013 as the Practice Manager for the Delray Beach Clinic. Prior to that, she worked at Tenet Florida Physician Services as Practice Administrator where she provided operations oversight to 10 multi-specialty physician practices. She holds a Master of Health Service Administration from Nova Southeastern University and a Bachelor of Business Administration with a minor in Accounting.


Director of Practice Operations

Terry L. Megiveron, MSM

Mr. Megiveron oversees day-to-day practice operations for the C. L. Brumback Primary Care Clinics. Mr. Megiveron has extensive management experience with primary care organizations in the Pacific Northwest. Prior to joining the Brumback Clinics, Mr. Megiveron served as the Clinic Administrator for Rural Health Clinics owned and operated by a public hospital district in northwest Washington State. Before that, he was the Chief of Provider Services of multiple family and specialty clinics for a rural hospital southwest of Seattle. Mr. Megiveron holds a Master of Science in Management in Health Care Administration from Troy University in Troy, Alabama (through a program based in Tacoma, Washington) and a Bachelor of Science in Allied Health Sciences from the University of Portland.


Dental Director

Tamara Tibby, DMD


Behavioral Health Director

Courtney Rowling, MD
Board Certified Adult Psychiatrist


Practice Manager, Belle Glade Clinic

Rose Lopez


Practice Manager, Delray Beach Clinic

Natalie Kenton


Practice Manager, Jupiter Clinic

Marguerite Lynch


Practice Manager, Lake Worth Clinic

Jeanne Rizzo


Practice Manager, Lantana Clinic

Caitlin Defranc Laguerre


Practice Manager, West Boca Clinic

Dominique Domond


Practice Manager, West Palm Beach Clinic

Marisol Miranda


Practice Manager, Senator Philip D. Lewis Center

Marisol Miranda


Practice Manager, Clinic for patients at Jerome Golden Center

Marisol Miranda


Practice Manager, School Clinic at Palm Beach Lakes Community High School

Marisol Miranda