Meet Liam Costello & Gio LaRoche — Primara
Digital marketing for independent primary care practices in Florida.
Why We Started Primara
Liam Costello and Gio LaRoche founded Primara in Florida after watching independent primary care physicians lose patients to larger health systems — not because of the quality of care they provided, but because of digital visibility.
Primara's approach is built around one premise: independent primary care physicians deserve the same digital infrastructure that hospital systems fund with dedicated marketing departments. That means a fully optimized Google Business Profile, a website engineered around local search, a consistent review system, and a strategy that accounts for how Google's local ranking signals actually work — not how they worked two years ago.
Both founders run every client account directly. There are no account coordinators, no offshore production teams, and no handoffs after the sales call. If you have a question about your ranking, your report, or your next content page, you speak with Liam or Gio — because they are the ones who built it.
Primara works exclusively with independent, physician-owned primary care clinics — not dental chains, urgent care franchises, or hospital systems.