About Dr. Hyler & Associates
Dr. Hyler & Associates is a well-established obstetric and gynecologic practice that has been serving women and families in Middleburg, Orange Park, and the Jacksonville area since 1996. The team includes physicians, nurse practitioners, and midwives, all committed to providing outstanding services while ensuring personal care and attention. Patients have consistently praised the doctors for their patience, kindness, and ability to listen to concerns and questions. Dr. Hyler has been recognized for his exceptional bedside manners and attentiveness, making patients feel valued and heard throughout their pregnancy journeys. Dr. Ayuso has also received positive feedback for her supportive care, especially during critical moments. The practice's recent expansion to Fleming Island has been welcomed by patients, who appreciate the kindness of the front office and nurses. Although there have been mixed reviews about the continuity of care, many still report having a wonderful experience with the midwives and staff. Some patients note they saw different midwives or doctors each time, which provided a chance to get familiar with the team. The overall experience at Dr. Hyler & Associates is often described as positive, with patients feeling informed and confident after their appointments. However, some have raised concerns about specific staff members and their responsiveness to mental health issues. In summary, Dr. Hyler & Associates remains a highly-regarded obstetric and gynecologic practice known for its dedicated team, personalized care, and exceptional service.
Dr. Jessica Marshall-Ayuso has an angelic presence. Her sunny, grounding disposition came at exactly the right moment—when I was awaiting emergency surgery for a complication I thought had already been resolved.
From the moment she entered the room, she immediately put both me and my stepmother at ease. Her calm confidence, clear competence, and depth of expertise were evident right away and reflected the kind of experience that only comes from having done this many times before.
She did an excellent job explaining the situation thoroughly, both before and after surgery. At my follow-up appointment, I came prepared with over 25 written questions, and she...read full review
I had Tiffany as my midwife and she deserves 5 stars all around! She was caring in every way, attentive, and helped me with any issue or concern I had throughout my whole pregnancy/birth process. I’m beyond grateful in every way for her!
So, like so many women, I despise going to the obgyn especially when its not baby/pregnancy related. From the first call to Breana APRN and Dr. Hyler seeing me, Jenn in Sonography and Hannah the surgery Scheduler and Dr. Ayuso's visit it has been so nice and put my mind at ease. I felt heard, and listened to by everyone. Easy to reach via phone or the portal. Set up for surgery and all questions answered:)