About Us

At Palma Sola Medical Associates, we see patients 18 years and older. We care for patients with various medical problems, including chronic pain and chronic diseases, as well as well-patient needs. The practice was established in September 2000 and continues to grow. Our facility provides diagnostic imaging with ultrasonography, minor office surgeries, ultrasound diagnostic musculoskeletal ultrasonography, and ultrasound guided injections.

Adnan K. Sammour

M.D., M.Sc, D.A.B.M.A, R.M.S.K, C.O.D.N

Dr. Sammour has been driven to treat pain, due to an experience that touched his own life. During his first year of residency in Scranton, PA, Dr. Sammour had a skiing injury that caused bilateral shoulder and hip pain that lasted for several months. Three years later the pain turned from a constant nuisance to a severe pain in the right shoulder and arm due to herniated cervical disk. Dr. Sammour sought treatment through physical therapy and massage therapy. After treatment Dr. Sammour was left with a chronic achy feeling in his neck and shoulder for the next eleven years. At which point the chronic achy feeling in his neck transitioned to a stiffness and pain in his hands. Again, Dr. Sammour sought treatment from two different hand specialists, one of which recommended surgery.

At this point Dr. Sammour started seeking different treatments as well his ongoing journey of learning more about myofascial (muscle and fascia) pain and other causes of pain. Instead of surgery, Dr. Sammour tried to treat his pain with physical therapy, osteopathic manipulation, acupuncture, Rolfing, structural integration, active isolated stretching, personal exercise training, prolotherapy, and even psychotherapy.

For Dr. Sammour, dry needling and peripheral motor nerve block with lidocaine produced the best results with a 90% improvement. Since then Dr. Sammour has completed over 100 seminars throughout the country learning more about different approaches to treat pain. He uses these techniques to give the same relief he experienced to his patients without the use of narcotics.

Angela Robison


Angela Robison was born and raised in Bradenton. She graduated from Manatee High School in 2004. After completing her undergraduate degree in Special Education at the University of North Florida she moved to Erie, Pennsylvania to earn her medical degree at Lake Erie College of Osteopathic Medicine in 2015. She has moved back to Florida and completed her residency training in Family Medicine. During her residency she served a chief resident and received the resident of the year award for the 2017-2018 year. Her training has provided her with the ability to provide comprehensive primary care services including caring for patients with high blood pressure, high cholesterol, diabetes, arthritis, providing women’s health services, and is well versed in basic dermatologic as well as urgent care procedures and services.

When not in the office she enjoys time with her husband and her dog. She can also be found spending time at the beach, bike riding and watching movies.

Dionne Yamout


Dionne is a Board Certified Nurse Practitioner. She started as a Registered Nurse in Labor and Delivery and has trained in a variety of settings including Urgent Care, Community Health, Family Practice, Gynecology, and Pediatrics. As such, she has extensive experience in Women's Healthcare in addition to Primary Care. Dionne has a Bachelor’s Degree in Psychology from Mississippi College, a Bachelor's degree in Nursing at Georgia State University, and a Master's degree in Nursing from the University of South Florida. With her background in psychology and nursing, Dionne believes in healthcare that combines clinical knowledge with compassionate and attentive care. Dionne lives in Bradenton with her husband and son, with whom she enjoys fishing with on their boat. As an experienced Registered Nurse, Dionne's compassion, level of clinical skill and knowledge, her commitment to patients, and her excellent personal skills make her a stellar candidate. Her approach to clinical care is one of attentive, and it shows! She is caring, understanding, and attentive.

Sarah Labrecque

P.T., D.P.T.

Sarah graduated from the Physiotherapy program at Cardiff University in Wales in 1990. After working 3 years in the NHS hospitals in the UK, she moved to the Tampa Bay Area and practiced in outpatient clinics until starting her own practice in 1998 to provide quality, individualized care in a relaxed setting for more complex clients. She completed her doctorate in Physical therapy from University of Montana in 2012. In over 20 years of practice she has worked with clients from childhood to the elderly with varied diagnoses including: orthopedic conditions especially spinal pain, fibromyalgia, arthritis, headaches/migraines, strokes, Parkinson's, multiple Sclerosis, lymphedema, chronic pain and osteoporosis. She has been fortunate to have had excellent teachers from many different disciplines and backgrounds, and her philosophy is to use gentle manual therapy techniques that facilitate the body's natural self-corrective and self- healing capabilities together with reeducating correct movement patterns and postural awareness for continued wellbeing. She recently closed her practice and joined Dr. Sammour as working with a skilled primary care team enables better holistic care of clients.

Sarah is certified in; complete decongestive lymphedema therapy by Norton school, 2013. Visceral manipulation techniques, Barral Institute 2011 Member of International Association of Healthcare Practitioners.

Debra A. Friedrich


Debbie is a nationally certified Nurse Practitioner with a doctorate in Nursing Practice. She provides primary care services including physicals, diabetes, hypertension, and cholesterol management as well as same day urgent care visits. Her doctorate training is in heart disease and stroke prevention. She has been awarded Diplomat status with the Accreditation Council for Clinical Lipidology. She is a national speaker and has published many articles on complex cholesterol management.

Debbie has been a part of Palma Sola for years and most recently has been seeing patients one day a week, spending the rest of her week as an Assistant Professor and teaching faculty at USF Medical School and College of Nursing. Lately, Debbie expressed a desire to come back to the clinical setting on a more full time basis because "I truly love patient care and enjoy the interaction with my patients."

Heather Ramos


Heather Ramos is a Physical Therapist Assistant who obtained her degree from SCF, and received her licensure in 2011. She has a passion for patient care to help manage pain, and improve overall quality of life. In addition, Heather is trained in pelvic floor dysfunction. Pelvic floor physical therapy uses hands-on physical therapy to stretch, strengthen and relax muscles in the lower pelvis. Heather follows the protocol of a massage-like technique, known as myofascial release, to help stretch and release the fascia (connective tissue between the skin and underlying muscle and bones).

Born and raised in Florida, she enjoys the outdoors and can be found on the weekends either sailing or fishing. Her outlook that life should be enjoyed to its fullest is passed on to her patients, which ensures positive outcomes upon completion of their physical therapy visits.

Mental and Behavioral Health

Marina Nesterenko


Dr. Marina Nesterenko attended medical school in Kiev, Ukraine, graduating in 1997. After earning her M.D., she worked as a child psychiatrist in Ukraine.
She completed her Residency in Psychiatry at SUNY Upstate in Syracuse, NY,  where she also completed a Fellowship in Child Psychology. 

Dr. Nesterenko is Board Certified in General Psychiatry and Child and Adolescent Psychiatry.  
Her areas of interest include autism spectrum disorder, aggression, developmental delays, ADHD, anxiety, depression, pain management, and PTSD.

Dr. Nesterenko has experience with veterans, children in foster care, the Psychiatric ER, and has also worked in inpatient treatment for adults, children, and adolescents

At Palma Sola Medical Associates Dr. Nesterenko provides both traditional and alternative treatment options as a psychiatrist for children and adults.