Every deliverable has a deadline. GBP fully configured in Week 1. Website live within 30 days. Review system installed at onboarding. You will always know what has been done and what is next.
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Our Commitment
What We Guarantee.
West Palm Beach, FL · Est. 2026 · Primary Care Only
Independent practices in Florida lose patients every day — not because of the quality of care they provide, but because another practice's Google listing is more complete, more active, and more visible. That's the problem Primara was built to solve.
— Liam Costello & Gio LaRoche · Co-Founders, Primara
Our Services
What We Offer
Digital Marketing for Medical Practices.
GBP Optimization
Local SearchWe configure 8–10 GBP categories (most practices have 1–2), write 30+ services in patient-search language, fill every attribute, and schedule 52 posts per year via BrightLocal. GBP is the single most important ranking factor for local search — we treat it that way.
Website Rebuild
Digital PresenceWe build a 30-page Core SEO structure mirroring your GBP categories, deployed on Vercel with all 7 GBP consistency signals verified at launch. Each page targets a specific local search term with MedicalOrganization schema markup from day one.
Review Generation
ReputationWe program 10 NFC tap cards and install QR signs at checkout, waiting room, and exam rooms. Reviews rotate across Google, Yelp, and Healthgrades monthly. Every response is HIPAA-compliant and published within 48 hours.
Local SEO Content
Content & AuthorityEach month we publish two pages driven by your Local Falcon rank map: a topical page when your Top 3% score lags your top competitor, a geographic page once it doesn't. Two pages per month compounds into measurable map pack movement.
The Practice
Liam Costello & Gio LaRoche.
Co-Founders · Primara · West Palm Beach, FL
Direct Founder Access · No Account Coordinators
Liam and Gio started Primara to give independent medical practices in Florida the same digital reach that hospital systems take for granted — without the agency machine, the long contracts, or the layers of account management between you and the people doing the work.
Every engagement is run by a co-founder, end to end. You hear from us directly. The strategy decisions, the writing, the reporting — none of it gets handed off. If something isn’t working, you tell us, and we fix it. That’s the entire promise.
We work exclusively with independent, physician-owned primary care practices. No hospital systems, no urgent care chains, no dental groups. If you’re running your own practice and your schedule isn’t full, we should talk.
- Specialists Only
- Primary Care Specialists Only
- Direct Access, No Coordinators
- Founder-Led Direct Access, No Coordinators
- FL-Based Team
- Florida FL-Based Team
- Now Accepting New Clients
- ✓ Available Now Accepting New Clients
Why Practices Choose Us
Why Florida Chooses Primara
Independent Primary Care Only.
Primara works exclusively with MD/DO-owned family medicine and internal medicine practices in Florida — insurance-based, 1–5 physicians, not hospital-affiliated. No dental chains, urgent care franchises, DPC models, or corporate networks. We know one model deeply instead of serving all of them poorly.
Founder-Led, Every Engagement.
Liam and Gio personally run every account — strategy, execution, reporting. No junior account coordinators, no offshore production teams, no handoffs after the sales call. The people you meet are the people doing the work.
HIPAA-Aware from Day One
Generic agencies don't understand healthcare compliance. Every Primara strategy — review responses that never confirm a patient relationship, ad copy without outcome promises, contact forms configured to avoid capturing PHI — is built with compliance in mind from the start.
Based in West Palm Beach
Primara is based in West Palm Beach, FL. We know the local referral networks, the patient demographics across Palm Beach County, and the competitive landscape in the corridors where your prospective patients search. Your content is written for this market — not swapped in from a national playbook.
Liam Costello, Co-FounderGio LaRoche, Co-FounderWest Palm Beach, FLPrimary Care OnlyInsurance-Based Practices
Request Your Audit
Let’s Talk.
Fill out the 4-field form below. We’ll research your practice and be in touch within 24 hours. No obligation — if it doesn’t make sense for your practice, we’ll say so.
No spam. We respond within 24 hours. For emergencies, call +1 (561) 291-2681.