Avianne Hospedales, MD
call her “Dr. Avi”
Founder, Ace Longevity | Board-Certified Internist | Expert in Precision Medicine
Dr. Avi is a visionary internist and longevity expert who is redefining what modern medical care can be. As the founder of Ace Longevity, she provides personalized and proactive medical care to help high-performers optimize their health, boost energy and prevent chronic disease.
Her passion for prevention began during her Internal Medicine residency when her mother was diagnosed with stage 4 colon cancer. Like many, her mother distrusted the healthcare system and declined essential screening tests. That loss was devastating and transformative.
From that moment forward, Dr. Avi committed to practicing medicine differently. She chose to stay ahead of disease, listen deeply, investigate root causes, and partner with patients to protect what matters most: time, vitality, and quality of life.
She spent more than a decade caring for thousands of patients as a medical leader at one of the nation's top value based care organizations. Her mission was clear. Keep patients healthy and out of the hospital. But over time, she saw the limitations of traditional healthcare. Appointments were rushed, protocols were reactive, and true healing was rare.
So she created something different.
At Ace Longevity in Palm Beach County (licensed in both Colorado and Florida)Dr. Avi delivers the kind of care she wishes her mother had received. Her approach combines internal medicine with functional medicine utilizing advanced diagnostics to uncover root causes of disease and implement strategies to help her patients experience better health and maximize their health span. Long term relationships are valued and built on trust.
Dr. Avi is known for recognizing patterns others miss, asking the questions others overlook, and helping patients take control of their health and their future. When complex cases arise, she collaborates with a handpicked network of leading specialists in Palm Beach County who meet her high standards for clinical excellence and compassion.
Her patients are high performers, deep thinkers, and visionaries who view health as their most valuable asset. They do not settle for feeling fine. They want clarity, energy, resilience, and peace of mind. Dr. Avi helps them achieve exactly that.
She continues to serve the broader community through volunteer work at Caridad Center, the largest free clinic in Florida, staying connected to the values that brought her into medicine.
Dr. Avi believes longevity is not just about adding years to life. It is about living fully with strength, purpose, and intention.
Christina Fred, APRN
Nurse Practitioner | Hormone Optimization and Metabolic Health Specialist
Christina brings a blend of clinical depth, warmth, and precision to her work. She focuses on empowering patients to take control of their health and thrive at every stage of life.
Her career began in critical care, where she served on the front lines of the ICU during the height of the COVID-19 pandemic. That time shaped her framework profoundly. Caring for the sickest patients, she witnessed the emotional and physical burden of advanced disease. She came away with a clear conviction: medicine must do more to prevent illness before it begins.
That belief brought her to the field of proactive, longevity-focused care. Today, Christina is a key clinician at Ace Longevity, where she specializes in personalized medicine with a strong focus on hormone health, midlife wellness, and sustainable weight management. A dedicated member of The Menopause Society, she is deeply committed to helping women navigate the hormonal shifts of midlife with clarity, confidence, and science-backed support.
Her work goes beyond hormones. Christina takes a deeply individualized approach to weight management, guiding patients through thoughtful nutrition planning and ongoing support. With frequent check-ins and real-time re-evaluation of treatment plans, she ensures care is both responsive and sustainable. She also integrates advanced diagnostic tools to gather meaningful health data, helping tailor each plan to the patient’s unique physiology, goals, and lifestyle.
What truly sets Christina apart is her ability to translate complex clinical information into practical, empowering strategies. Her ICU background makes her an attentive listener and trusted advocate, while her longevity training ensures every patient receives cutting-edge, evidence-based care.
She first met Dr. Avi while volunteering at Caridad Center, Florida’s largest free clinic. This experience continues to inform her patient-first approach. At Ace Longevity, Christina plays a vital role on a team dedicated to helping people not only live longer, but live healthfully.
Rachel W. Mbuthia
Medical Records Specialist & Virtual Assistant
Rachel is our dedicated medical records specialist and an essential part of the Ace Longevity team.
At Ace Longevity, we believe exceptional care begins with a complete understanding of your health history. That is where Rachel comes in.
She ensures that every part of your medical record is carefully gathered, reviewed, and organized from past procedures to specialist visits. Rachel works directly with hospitals, medical practices, and specialty clinics to collect the records we need to see the full picture of your health.
Her work allows Dr. Avi and the team to deliver deeply informed, personalized care from day one.
Rachel brings a warm, thoughtful presence to every interaction. She works diligently behind the scenes, coordinating with local offices and building trusted relationships across the medical community. Her attention to detail and calm professionalism help make your care not only comprehensive, but seamless.
With Rachel on your side, nothing gets missed.
Your care is complete, connected, and truly next level.
Joshua Goldworm
Co-Founder, Ace Longevity
Joshua Goldworm brings heart, strategy, and lived experience to Ace Longevity as both a co-founder and Dr. Avi’s husband.
With a career in renewable energy and a lifelong passion for creating meaningful change, Josh has always been driven to build things that make the world better. His professional path has been mission-driven, rooted in sustainability and long-term impact, values that align seamlessly with the vision behind Ace Longevity.
An active and high-performing individual, Josh lives the longevity lifestyle he helps champion. From cold plunges and sauna sessions to tailored performance training and a love of pickleball, snowboarding, and paddleboarding, he’s deeply invested in staying strong and well for the long haul. But like many of our high-performing clients, his path to optimal health wasn’t linear.
After navigating his own health challenges, including Crohn’s disease, persistent low back pain and a strong family history of cardiovascular disease, Josh turned to the Ace method. By following Ace’s diet tailored to restore his gut health, Ace’s back pain protocol and following Ace’s cardiovascular optimization strategy, he experienced firsthand the power of precision medicine and proactive care.
As both a patient and partner, Josh has a rare perspective. He understands the frustration of being underserved by the traditional medical system and the transformation that happens when care is personal, comprehensive, and proactive.
At Ace Longevity, Josh plays a vital role in strategic growth, operations, and patient experience. He’s committed to helping every individual who walks through our doors feel seen, supported, and equipped to live their fullest, healthiest life.
Together, he and Dr. Avi are building more than a practice, they’re building a movement.
