Orthopedic Surgeons in Jacksonville & Middleburg, FL
Our Facility
Welcome to Integrity, a comprehensive spinal and orthopedic medical center proudly serving the communities of Jacksonville and Middleburg, Florida. With a history of excellence and expertise, our orthopedic surgeons, neurosurgeons, and spine specialists provide superior care for various muscular and skeletal conditions. Our staff, doctors, and medical personnel are here to help create success stories for our patients. Our mission is to provide the highest level of care to set our patients on a path of recovery and healing.
Whether you need the expertise of a spine surgeon, a neck specialist, or an orthopedic specialist, our team is always ready to assist you. We take pride in developing a unique care plan for each patient, addressing their specific spinal or orthopedic needs. We are committed to utilizing cutting-edge technology, maintaining an exceptional staff, and providing personalized care to every patient we treat.
From diagnosis to personalized treatment plans and recovery, Integrity Spine & Orthopedics is your home for Jacksonville orthopedics.
Spine, Orthopedic & Neurosurgery Specialists
Our healthcare providers are committed to delivering high levels of care through state-of-the-art treatments, medical innovation, and diagnostics. As board-certified spine, orthopedic, and neurosurgical specialists our staff is dedicated to restoring the health of our patients and enhancing their quality of life.
As innovative leaders in their field, the doctors at Integrity bring decades of experience and a steadfast history of success stories to the table. With prodigious skill and unquestionable credentials, our spine and orthopedic surgeons are at the top of the line for professional spinal and orthopedic care.
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Dr. Andrew Frank Cannestra
M.D., Ph.D., B.S.E. FAANSDr. Andrew Cannestra, a diplomate of the American Board of Neurologic Surgery, fellowship-trained in spine surgery, former director of the Baptist Robotic Spine Surgery program and co-founded the Society for Minimally Invasive Spinal Surgery.
Spinal Surgery (Fusion & Dynamic)
Minimally Invasive Neurosurgery
Spinal Reconstructive Procedures
Artificial Disk Implantation
Robotic Spinal Surgery
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Dr. Ralph Rizk
DO, Orthopedic SurgeonRobotic Hip & Knee Replacement
Anterior Approach Total Hip Replacement
Fracture/Dislocations
Arthroscopic Surgery (Shoulder/Knee)
Ligament Reconstruction (ACL)
Tendon/Muscle Transfer
Foot & Ankle Surgery
Carpal Tunnel Surgery
Hand Surgery
Arthritis
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Dr. Jon F. Graham
M.D.Dr. Jon Graham, a highly qualified neurosurgeon with over 30 years of experience, trained at Michigan State, Wayne State, and Walter Reed. He practices at Queens Medical Center, emphasizing patient education and optimal outcomes.
Spinal Surgery (Fusion & Dynamic)
Minimally Invasive Neurosurgery
Spinal Reconstructive Procedures
Artificial Disk Implantation
Robotic Spinal Surgery
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Dr. Eli Loch
DODr. Loch is a board-certified interventional pain specialist with extensive experience in spine, joint, and nerve treatments. He specializes in regenerative medicine, conducts FDA-approved research, and is a certified health coach and medical exercise specialist.
Nerve Stimulation
Pain Management Injections
Regenerative Therapy with Regenexx
Specialized Services
Our Team

Anthony Premo, APRN
Clinical Director
Jennifer Johnson, RNBSN
Neurosurgery Team
Brianna
CMA, Director of Clinic Operations
Amber
Clinical Team Lead
Shilo
Medical Assistant
MacKenzie
Director of Marketing & Sales
Abrianna
Director of Patient Relations
Karlicia
Surgical Coordinator
Marissa
Referral CoordinatorLocation
Jacksonville
Main Office | By Appointment OnlyOffice Hours
M-F: 8:00 AM - 5:00 PM
Weekends: Closed