Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Wellness & Body · Fleming Island, FL
Feel your best, with a plan built around you
Physician-supervised wellness care, built around your labs and your goals. Our team helps you feel more energetic, balance your hormones, and reach a healthier weight. Men are very welcome here.
Written by the Well Labs+ editorial team · Last updated July 2026
A Plan Made for You
Your energy, weight, sleep, and skin are connected. We treat the whole system.
We are a partner in your wellness journey. We do not just hand out medications and send you on your way. Every program here begins with a real consultation and the labs that confirm what your body actually needs, then builds a plan around your goals, not a single drug or device.
The aim is to treat you to an optimal level, not just a lab-normal one, whether the goal is more energy, a healthier weight, steadier hormones, or simply feeling like yourself again.
Explore Wellness & Body
Start with the concern you want to address
Wellness programs layer together into a plan for energy, weight, hormones, and body. Start wherever your goal begins, and your provider builds the rest around your labs and your history.
Hormone Health
Hormone Optimization (BHRT)
Bioidentical hormone therapy that treats to an optimal level, not just a lab-normal one, addressing the fatigue, sleep, mood, and drive changes hormones drive.
Explore hormone optimizationMen’s Hormone Health (TRT)
Physician-supervised testosterone optimization for low-T fatigue, drive, and muscle tone, screened and monitored with real cardiovascular candor. Men are very welcome here.
Explore men’s hormone healthPeptide Therapy
Supervised peptide support that works with your body’s own signaling, serving as a bridge between hormone optimization and metabolic health.
Explore peptide therapyWeight & Body
Medical Weight Loss
A physician-supervised plan built around labs, screening, and follow-up. We offer GLP-1-class support alongside appetite-suppressant and lipotropic options, never a single medication handed over and sent on its way.
Explore medical weight lossBody Contouring
Non-surgical contouring and fat-reduction options chosen for the shape you are working toward. We never frame this as weight loss; instead, we prioritize realistic, results-vary honesty.
Explore body contouringIV & Vitality
IM Vitamin Injections
B12, D3, glutathione, and amino-acid blends delivered by injection to support energy and recovery as a layer within your wider wellness plan, not a stand-alone fix.
Explore vitamin injectionsIV Therapy & Wellness Drips
Provider-administered IV hydration and nutrient drips for recovery, immunity, and energy, delivered in a clinical setting, not a parking-lot van.
Explore IV therapyWomen’s & Restorative Health
Hair Restoration
Microneedling and topical growth-factor support for thinning hair, paired with laser hair rejuvenation. We set realistic expectations, never making a guarantee.
Explore hair restorationVaginal Rejuvenation
Discreet, clinical women’s-health care with its own dedicated guide. See the full page for FemTouch and what to expect.
Visit the vaginal rejuvenation pageTake the First Step
Ready to build your wellness plan? Let's talk.
Request an appointment and your provider maps a plan around your labs, your goals, and every program we offer, here in Fleming Island.
Physician-Supervised, Always
A plan built around your labs, not a single prescription
Every wellness program at Pura Vida is credentialed by our medical team, led by Kara Wilfong, DNP, APRN, FNP-C. Before anything is recommended, we confirm it is appropriate for you with a real consultation and, where needed, labs and screening. We will tell you plainly when something is not the right fit.
Whole-Person, Not a Symptom
One team, for hormones, weight, IV, body, and more
Your energy, your weight, your sleep, your drive, and your skin are connected, so we treat them that way. Because Pura Vida is a full medical spa, your wellness plan sits alongside the rest of your care, under one roof and one long-tenured team, rather than being split across separate specialists.
Fleming Island · Northeast Florida
Wellness built for a research-first Fleming Island
Fleming Island is an affluent, educated, and older-skewing coastal suburb. It’s a research-first, prevention-minded community that includes many NAS Jacksonville military families. For the active-aging professionals here, hormone optimization, TRT, and peptide therapy support energy and longevity. For a coastal, on-the-go lifestyle, medical weight loss is built for sustainable results, not a quick before-and-after. For the Florida heat, IV therapy supports recovery and hydration. And for the discreet, well-informed suburban patient, women’s health care is private and clinical, always.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
The practice Fleming Island trusts for medical wellness. Voted the area’s best medspa six years running, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"I visited Pura Vida for hormone health support. Kara is so caring and informational to help you understand how your body works and what you are feeling… a holistic approach of treating from the inside out, down to the cellular and nutrient level, which I appreciate."
"I had my first appointment with Kara today and I have all the faith in the world that she will sort out my perimenopause issues. Look forward to the road ahead."
"We see Kara for BHRT and our overall better health. She is kind, knowledgeable, and relatable. The care we have received is life changing. She is a true professional."
Prefer to Talk First?
Questions before you book? Call us.
Talk through your wellness goals with our Fleming Island team before you schedule anything.
Proven Excellence
The most-reviewed medspa in Clay County
One practice for hormones, weight, IV, body, and spa. The same credentialed team, visit after visit.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Our Process
How your wellness plan comes together
Start with an unhurried consultation
Every wellness plan begins with a real conversation. We look at your energy, weight, sleep, hormones, and skin as connected systems, not isolated complaints, and talk honestly about what each option can and cannot do before anything is scheduled.
Confirm with labs and screening
Before we recommend a treatment, we check the bloodwork and history that inform a safe, individualized plan. When something is not warranted for you, we say so and decline it, rather than proceed anyway.
Build a plan around you
Your plan combines the therapies that fit your goals and your labs. We never hand over a single drug or device on its own. We are a partner in your wellness journey, not a prescription pad.
Follow up and refine
Wellness care is not a one-time visit. We check in, adjust dosing, and aim to treat you to an optimal level, not just a lab-normal one, as your plan and your goals evolve.
Meet Your Care Team
Clinician-led wellness care, visit after visit
Kara Wilfong, DNP, APRN, FNP-C leads our wellness and hormone care, backed by our nurse practitioners and physician assistants. The same experienced team sees you, visit after visit.
Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Emily Arnold
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Frequently Asked Questions
Wellness & Body Questions, Answered
What is medical wellness, and how is it different from a regular spa visit?
Medical wellness is physician-supervised, individualized care built from labs and a real consultation, not a single treatment chosen off a menu the way you would at a regular day spa. At Pura Vida, that means looking at your energy, weight, sleep, hormones, and skin as one connected system, confirming what is appropriate with screening, and building a plan around you instead of simply handing over a medication.
I am not sure which wellness program is right for me. Where do I start?
Start with a one-on-one consultation rather than guessing among the programs on our menu. Whether your goal is more energy, weight loss, hormone balance, or faster recovery, our team listens first and then routes you to medical weight loss, hormone optimization, IV therapy, body contouring, peptide therapy, or another concern area based on your labs and history.
Is medical weight loss just a prescription for Ozempic or semaglutide?
No, medical weight loss at Pura Vida is not a prescription handed over on its own. A responsible plan pairs GLP-1-class support such as semaglutide with labs, screening, nutrition guidance, and ongoing follow-up, and pricing for any weight-loss or lipotropic program is confirmed at your consultation. We do not promise a specific number on the scale.
Is hormone optimization the same thing as anti-aging medicine?
No, hormone optimization is not anti-aging medicine. It is physician-supervised, bioidentical hormone therapy aimed at managing real symptoms such as fatigue, disrupted sleep, low mood, and low drive, treating you to an optimal hormone level rather than just a lab-normal one. We never frame it as reversing aging or curing anything.
Is medical wellness care only for women?
No, medical wellness care is not only for women; men are very welcome here. Our men's hormone health and testosterone optimization programs are physician-supervised and screened with real cardiovascular candor, and many of our wellness patients are active-duty and retired NAS Jacksonville military families managing energy, weight, and hormone changes alongside medical weight loss and IV therapy.
Where can I get medical wellness care and hormone therapy near Fleming Island?
Medical wellness and hormone therapy are available at our Medical Spa at 1590 Island Lane, Suite 28, in Fleming Island, FL, one of two Fleming Island locations voted the area's best medspa six years running. We care for patients from Fleming Island, Orange Park, Middleburg, Green Cove Springs, Clay County, and the greater Jacksonville area.
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Ready When You Are
Let’s build a wellness plan around you
Request an appointment and we’ll talk through your energy, weight, hormones, and goals, and the program that fits. We’re honest about what will work and what won’t.
Not ready to book? Send us a question instead.