"We take time for you, because we care"
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Our Practice

Doctors Michelle Spuza-Milord and Swanthri DeSilva get personally involved in the care of each of their patients.

Their partnership offers a unique combination of specialties, Rheumatology, Allergy and Immunology. As a team, they provide state of the art diagnosis and treatment, expert consultation and second opinions concerning difficult or complex inflammatory conditions.

We have concentrated our focus as Internal Medicine subspecialists in the fields of Rheumatic diseases, Arthritis and Rheumatism, Autoimmune diseases, Allergies, and Osteoporosis.

We find that our patients need special attention, more often extensive visits, in-depth monitoring, and educational opportunities using hands on materials and models. Our goal is to both treat you with the most current treatment modalities available, and to empower you with the right tools for you to become healthier. Together with our trained staff, we are able to provide you with quality service.

As our patient, you will be thoroughly evaluated, your findings will be explained, and your treatment will be planned according to your individual needs. We routinely review your active and chronic medical problems, since many rheumatic and autoimmune disorders are systemic and affect multiple organs. Your non-rheumatologic and non-immunologic problems, however, will be referred back to your family physician for continuity of care, which is very important.

If you are one of our winter residents, it will be our pleasure to contact your doctor back home, so that your care in Florida will continue smoothly.


Special services we offer at our office include:
  • Allergy Testing
  • Allergy Support Therapy
  • Immunotherapy Injections
  • Independent Medical Evaluations
  • Weight Loss
  • Home Care and Nursing Home Care
  • Infusion Therapy
Infusion therapy of biological mediations are provided for:
  • Rheumatoid Arthritis (RA)
  • Psoriatic Arthritis (PsA)
  • Polyarthritis
  • Ankylosing Spondylitis (AS)
  • Wegener's Granulomatosis
  • Systemic Lupus Erythematosus (SLE)
  • Inflammatory Bowel Disease (IBD)
  • Crohn's Disease
  • Osteoporosis
  • Vasculitis
  • Other similar conditions

If you have any questions or concerns regarding either our practice or your care, we look forward to discussing them with you.

Insurance Plans Accepted
Click here to view a list of insurance plans to verify participation status and insurance company acceptance.

Referrals & Authorizations
An authorization for any appointments must be in our office at the time of your visit. Please call your primary care physician one week before your scheduled appointment to obtain authorization for the visit.

Payment Policy
Payment for office visit, such as deductibles, co-payments and old balances, expected at the time services are rendered.

There is a $25 fee for any missed appointments that were not cancelled 24 hours in advance.


Hospital Affiiliations in St. Petersburg, FL
  • Northside Hospital
  • Bayfront Medical Center
  • Saint Petersburg General Hospital
  • Saint Anthony Hospital
  • Palms Of Pasadena Hospital