About

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Arthritis center

Nimesh A. Dayal, MD, MRCP, MSc currently is a private practitioner at Arthritis Center of Orlando in Ocoee, Florida.

Dr. Dayal earned his medical degree at the University of the Witwatersrand in Johannesburg, South Africa. He completed his internal medicine residency at The Reading Hospital and Medical Center in Reading, PA. and a rheumatology fellowship at Emory University School of Medicine in Atlanta.Dr. Dayal has also earned a Masters Degree in Clinical Investigation from Northwestern University in Chicago. He is also a Member of the Royal College of Physicians.

He is board certified in both internal medicine and rheumatology. Dr. Dayal is a member of the American College of Rheumatology.



Dr. Arroyo-Avila has graduated cum laude from the University of Puerto Rico. She has completed her internal medicine residency at Baylor University Medical Center in Dallas Texas followed by a research fellowship at the University of Puerto Rico. She has completed a rheumatology fellowship at the University of Puerto Rico, San Juan.

Prior to joining private practice, she has been assistant program director at the above-mentioned Institute. She has had numerous publications in various journals. She is also presented at various National meetings.

Dr. Arroyo-Avila is board certified in internal medicine and rheumatology.





Reena has graduated as a nurse from the prestigious Holy Family Hospital in New Delhi. She has received a bachelor’s degree in nursing from Grand Canyon University. She has received her master’s degree in Advanced Registered Nurse Practitioner from Florida Southern University.

Prior to joining rheumatology private practice, she has worked as a cardiac care nurse at Advent health Hospital in Orlando Florida where she has also been assistant nurse manager.



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Who is a Rheumatologist?

A rheumatologist is a doctor who has completed additional medical training in the diagnosis and treatment of diseases of the joints, muscles and bones.

A Rheumatologist can help explore non-surgical treatment options for certain conditions.

After four years of medical school and three years of training in either internal medicine or pediatrics, rheumatologists devote an additional two to three years in specialized rheumatology fellowship training. Most rheumatologists who plan to treat patients choose to become board certified. Upon completion of their training, they must pass a rigorous exam conducted by the American Board of Internal Medicine to become certified.

Many types of bone, joint and autoimmune conditions are not easily diagnosed in the early stages. Rheumatologists are specially trained to do the detective work necessary to discover the cause of swelling and pain. Because some rheumatic diseases are complex, one visit to a rheumatologist may not be enough to determine a diagnosis and course of treatment. These diseases often change or evolve over time. Rheumatologists work closely with patients to identify the problem and design an individualized treatment program.

The American College of Rheumatology is an organization of and for physicians, health professionals, and scientists that advances rheumatology through programs of education, research, advocacy and practice support that foster excellence in the care of people with arthritis and rheumatic and musculoskeletal diseases.

Our Mission

Arthritis Center of Orlando is committed to providing superior, state-of-the-art medical treatment in a safe, caring environment while respecting the needs, rights, and dignity of every patient.

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