About Us



Thank you for choosing Boca Midwifery for your prenatal, labor, delivery, and postpartum care! We look forward to building a relationship and will provide you with quality, personalized, compassionate care as you journey through this exciting time.

About Us Image


  • We trust in birth and believe that the birth process is a non-medical event for most healthy women.
  • We do not believe in routine procedures and interventions unless necessary to support the health and well-being of mom and baby.
  • We hope all women have a pregnancy, birth and postpartum experience that is empowering.
  • The experience of pregnancy and motherhood is incredibly transforming, and we want to be a part of that by giving you the individualized care and attention you deserve.
  • We hope to create a comfortable atmosphere in which you feel cared for, listened to, respected, well-informed, and supported in your decisions.

Above all, we thank you for giving us your trust during this process.

Nurse Practitioner and Certified Nurse Midwife Courtney McMillian offers top quality midwifery services including Obstetrics, Gynecology, Adolescent Gynecology, Family Planning, and Menopause Management.

  • We are VBAC Friendly
  • Accepting New Patients & Transfers
  • Most Insurances Accepted
  • Now Delivering at Boca Raton Regional Hospital & West Boca Medical Center

Serving the Boca Raton, Deerfield Beach, Lighthouse Point, Coconut Creek, Coral Springs, Parkland, Delray, Boynton Beach, Lake Worth, and surrounding areas. 

Our Team

Courtney McMillian, CNM, MSN, APRN

Courtney McMillian is a Certified Nurse Midwife and Advanced Registered Nurse Practitioner. She received her Master’s degree from the University of Florida after ten years of labor and delivery nursing. Courtney completed her undergraduate studies at Duke University where she graduated with high honors. She is a member of the American College of Nurse Midwives.

Read more about Courtney McMillian, CNM, MSN, APRN

Nicole Darby Ramirez, CNM, MSN, APRN

Nicole is passionate about women’s health and aims to empower women throughout the different stages of their life. Her areas of interest include gynecology, preconception counseling, labor support, breastfeeding promotion, and postpartum assistance. She believes every birth is unique and strives to provide women and families with individualized care, creating memorable experiences. She is a true advocate for physiological birth and prioritizes evidence-based care, patient safety, and informed decision-making. She is VBAC friendly and fluent in Spanish.

Read more about Nicole Darby Ramirez, CNM, MSN, APRN

Ryan Gavagni Fiorentino, CNM

Ryan attended Palm Beach State College for her Nursing and Undergraduate degrees, where she graduated Magna Cum Laude. She worked in labor and delivery for the last 6 of her 10 years as a registered nurse. During this time spent in the health care system, her dedication grew to improve maternity outcomes and she pursued her Master’s Degree in Nurse-Midwifery at Frontier Nursing University.

Read more about Ryan Gavagni Fiorentino, CNM

David Lubetkin, MD, FACOG

Dr. David Lubetkin, MD, FACOG serves as medical director of Boca Midwifery. Dr. Lubetkin is a graduate of Johns Hopkins University and Albert Einstein College of Medicine. He completed his residency in Obstetrics and Gynecology at North Shore University Hospital, Cornell University Medical Center in Manhasset, NY. He has been in private practice in Boca Raton, FL since 1996. He has served as Chief of Staff at West Boca Medical Center and President of the Palm Beach County Ob/Gyn Society. He is currently the Chairman of the Department of Obstetrics and Gynecology at Boca Raton Regional Hospital.

Read more about David Lubetkin, MD, FACOG