Puma Management works with health care leaders and providers to improve and grow their businesses with smart, innovative business development services. We assist to develop alternative client models such as personal injury and worker’s compensation. We improve market presence and impact with business development initiatives. We help refine marketing and branding programs. 

In everything we do, we follow a simple philosophy: We exist to serve our clients.

We would be honored at the opportunity to meet you, learn about your business and share ideas towards your success. Please feel free to contact us. 


James F Casale

James F Casale

Founder & Business Leader

James directs the programs at Puma Management that provide high value business development and finance services for its health care clients.  He is a a dynamic business leader that has experienced success in both corporate and entrepreneurial environments. James has designed, led and executed marketing, business development and business process improvement projects for companies including American Express, HSN and several health care enterprises. James has a special interest in the disciplines of marketing, sales, total quality and service excellence.

James earned an MBA from New York University and is a former U.S. Army Reserve officer. He is the proud father of two college students. 

James is the proud Father of two college age children. He has been involved many years in youth soccer administration, coaching and officiating, and can kick the ball around a bit too. 

Carlos Flores Gordon

Carlos Flores Gordon

Director of Marketing

Carlos serves as the Director of Marketing for Puma Management, providing strategic and functional leadership for all marketing programs for the company as well as marketing initiatives for our clients. A talented web and graphic designer, programmer, photographer and film director, Carlos has worked with clients including Coca Cola, the Miss Universe Pageant, Banco Popular, Merck and Starbucks among many others. He has also provided marketing and promotional expertise to musical artists such as Ricky Martin, Shakira and Maná.  Carlos was also formerly VP of Operations and co-owner of the Hispanic Yellow Pages, where he was responsible for the production and distribution of millions of directories in the US and leading major promotional programs in major Hispanic markets.  

 Carlos has always been actively involved with multiple organizations that combat  bullying and discrimination. A native of Puerto Rico, Carlos lives in Wesley Chapel with his wife Mildred, and is a proud Father of three sons.