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Licensures and Certifications

• Florida Board of Osteopathic Medicine
• American Board of Anesthesiology
• Board Certified in Pain Medicine

Dr. Tse earned his medical degree from Kansas City University of Medicine and Biosciences. He completed his residency in Anesthesiology at Tufts University School of Medicine-St. Elizabeth’s Medical Center and a fellowship in Interventional Pain Medicine at Harvard Medical School-Brigham and Women’s Hospital in Boston, MA. Dr. Tse strives to educate patients about their condition and treatment options through a multidisciplinary approach which focuses on decreasing pain as well as improving functional capacity and quality of life. He enjoys spending time with family, traveling, and outdoor activities.

As a trusted board-certified endocrinologist and metabolic disease expert, Kwame Ntim, MD, can help patients manage life-long conditions. He cares for patients at Premier Endocrinology in Kissimmee and Altamonte Springs, Florida.

Dr. Ntim received his medical degree from the University of Ghana School of Medicine and Dentistry. He completed both an internship and residency in internal medicine at St. Agnes Hospital in Baltimore, and a fellowship in endocrinology, diabetes, and metabolism at the University of Florida.

Because he completed additional training, Dr. Ntim is currently board-certified in internal medicine, endocrinology, diabetes, and metabolism through the American Board of Internal Medicine. He’s also a member of the American Thyroid Association, the Endocrine Society, and the American Association of Clinical Endocrinologists.

Dr. Ntim previously held the role of assistant professor at the University of Florida College of Medicine under the division of endocrinology. During this time, he also served as the thyroid clinic director at the Malcom Randall Veterans Affairs (VA) Medical Center in Gainesville.

Dr. Ntim has extensive experience diagnosing and treating pituitary disorder, low testosterone, and adrenal disorder, among other chronic conditions, making it possible for him to help patients with a multitude of complex ailments. Dr. Ntim is currently accepting new patients.

Shwetanshu Shukla, MD, is a board-certified internist and leads the team at JS Healthcare in Winter Park, Florida. In addition to managing acute and chronic illnesses, Dr. Shukla provides aesthetic services for patients seeking treatments with the ICON™ Aesthetic System. Aesthetic services range from laser hair removal and skin resurfacing to stretch mark and scar removal. Alongside Alex Orandi, ARNP, Dr. Shukla provides compassionate, patient-centered care for patients of all ages.

Dr. Shukla attended medical school at Bharati Vidyapeeth Medical College where he received his Bachelor of Medicine and Bachelor of Surgery degrees. He went on to complete his residency at Easton Hospital in Pennsylvania. Dr. Shukla is board-certified by the American Board of Internal Medicine.

Dr. Shukla is affiliated with Florida hospitals, nursing homes, and assisted living facilities. He may provide medical care for patients in these facilities and, at times, is available for home visits.

He has been awarded Best Physician of the month at Florida Hospital Altamonte in Altamonte Springs, Florida, where he remains an affiliate.

In addition to English, Dr. Shukla is fluent in Hindi and Gujarati. 

Medical and aesthetic patients are always welcome to call the office or simply click 'Book Online' to request an appointment with Dr. Shukla. 

 

Christina Pagan is a board certified physician assistant, and native Floridian. Christina attended Florida Southern College where she received a Bachelor of Science degree. Following graduation from FSC, she attained two Master’s of Science degrees: one from the University Of South Florida in Medicine and one in Physician Assistant studies, graduating with highest honors from Nova Southeastern University- Orlando. Christina chose medicine as a career to use her skills and compassion to make a difference in the lives of people so they are able to enjoy life to their fullest potential. Christina has experience in various medical procedures, diagnosing and treating illness, while empowering her patients to achieve and maintain better health.

Glenn Pfaff, MD, is an established and highly skilled physician with over 39 years of experience in Internal Medicine. He earned his medical degree from the University of South Florida in Tampa and his bachelor’s degree in Zoology from Florida Atlantic University. He is affiliated with Orlando Health and has been working with Access IPC since 2016

Julianne Prete, PA-C, is a certified physician assistant at Florida Dermatology Associates. Julianne is a dermatology-trained specialist, certified by the National Commission on Certification of Physician Assistants (NCCPA). She sees patients at several locations, including in Cocoa Beach, Suntree, Rockledge, and Titusville, Florida. 

Julianne earned her Bachelor of Science from Florida State University in Tallahassee. Following graduation, she worked as a dermatological medical assistant for two years. Feeling energized by her work in the dermatology field, she joined the physician assistant program at South University in Savannah, Georgia.

At South University, Julianne focused on dermatology through her rounds at Georgia Skin and Cancer Clinic. With additional experience in internal medicine, dermatology, and aesthetics, Julianne offers well-rounded, holistic treatment plans for her patients. 

Julianne is a member of the Society of Dermatology Physician Assistants and attends annual dermatology conferences. To book an appointment with Julianne or any of the fantastic providers at Florida Dermatology Associates, call the office nearest you or request an appointment online today. 

Dana Kleinman, DO, is an experienced doctor of osteopathic medicine at the Regenerative Sport, Spine and Spa in Orlando, Florida. Originally hailing from Israel, Dr. Kleinman enjoys helping patients with any concern, no matter how challenging.

Dr. Kleinman obtained a bachelor’s degree in microbiology from Florida Atlantic University in Boca Raton, Florida. Here, she obtained essential knowledge that set the foundation for her continuing education. 

Afterward, she attended Nova Southeastern University in Ft. Lauderdale, Florida, where she obtained a master’s degree in biomedical science. Dr. Kleinman continued to pursue higher education and obtained her medical degree also from Nova Southeastern University.

After completing her residency at Palmetto General Hospital in Hialeah, Florida, Dr. Kleinman worked for several hospital systems as an attending physician in emergency medicine, providing excellent care to her patients. Some of these hospitals include the HCA Florida Oak Hill Hospital in Brooksville, Florida, and the Baycare Winter Haven Hospital in Winter Haven, Florida.

Dr. Kleinman takes a particular interest in hormone replacement therapy and educating patients on the benefits of hormonal balances. She has goals to grow the Regenerative Sport, Spine and Spa by encompassing more community and emphasizing the importance of regenerative medicine, hormones, and aesthetics.

Outside the clinic, Dr. Kleinman enjoys biking, hiking, and traveling, where she and Dr. Santiago often go together. She also likes fitness and particularly enjoys obstacle course runs like mud runs and spartans.

Dionardo Medina Encarnacion, MD, is an Endocrinologist at Premier Endocrinology, serving patients at the St. Cloud and Kissimmee locations. Dr. Medina received his medical degree from Autonomous University of Santo Domingo. He finished his internship and Internal Medicine residency at St. Barnabas Hospital, affiliated with Albert Einstein College of Medicine in Bronx, New York. He finished Endocrinology, Diabetes and Metabolism fellowship at University of Central Florida / HCA Healthcare, in Orlando, where he also served as chief endocrinology fellow. 

Dr. Medina is board-certified in Internal Medicine and Endocrinology, Diabetes and Metabolism by the American Board of Internal Medicine. He is also an expert in Weight Loss Medicine, board-certified by the American Board of Obesity Medicine. Additionally, Dr. Medina is Endocrine-Certified in Neck Ultrasonography (ECNU), and a Certified Clinical Densitometrist (CCD).  

He is a member of several medical and endocrine societies including American Association of Clinical Endocrinologist, Endocrine Society, Obesity Medicine Association, American Thyroid Association and American College of Physicians.

Dr. Medina treat patients with complex endocrine and metabolic diseases including diabetes, thyroid diseases, obesity/weight loss, metabolic bone and calcium conditions, pituitary and adrenal diseases, along with other hormonal disorders. 

As a trusted board-certified endocrinologist and metabolic disease expert, Kwame Ntim, MD, can help patients manage life-long conditions. He cares for patients at Premier Endocrinology in Kissimmee and Altamonte Springs, Florida.

Dr. Ntim received his medical degree from the University of Ghana School of Medicine and Dentistry. He completed both an internship and residency in internal medicine at St. Agnes Hospital in Baltimore, and a fellowship in endocrinology, diabetes, and metabolism at the University of Florida.

Because he completed additional training, Dr. Ntim is currently board-certified in internal medicine, endocrinology, diabetes, and metabolism through the American Board of Internal Medicine. He’s also a member of the American Thyroid Association, the Endocrine Society, and the American Association of Clinical Endocrinologists.

Dr. Ntim previously held the role of assistant professor at the University of Florida College of Medicine under the division of endocrinology. During this time, he also served as the thyroid clinic director at the Malcom Randall Veterans Affairs (VA) Medical Center in Gainesville.

Dr. Ntim has extensive experience diagnosing and treating pituitary disorder, low testosterone, and adrenal disorder, among other chronic conditions, making it possible for him to help patients with a multitude of complex ailments. Dr. Ntim is currently accepting new patients.

Dionardo Medina Encarnacion, MD, is an Endocrinologist at Premier Endocrinology, serving patients at the St. Cloud and Kissimmee locations. Dr. Medina received his medical degree from Autonomous University of Santo Domingo. He finished his internship and Internal Medicine residency at St. Barnabas Hospital, affiliated with Albert Einstein College of Medicine in Bronx, New York. He finished Endocrinology, Diabetes and Metabolism fellowship at University of Central Florida / HCA Healthcare, in Orlando, where he also served as chief endocrinology fellow. 

Dr. Medina is board-certified in Internal Medicine and Endocrinology, Diabetes and Metabolism by the American Board of Internal Medicine. He is also an expert in Weight Loss Medicine, board-certified by the American Board of Obesity Medicine. Additionally, Dr. Medina is Endocrine-Certified in Neck Ultrasonography (ECNU), and a Certified Clinical Densitometrist (CCD).  

He is a member of several medical and endocrine societies including American Association of Clinical Endocrinologist, Endocrine Society, Obesity Medicine Association, American Thyroid Association and American College of Physicians.

Dr. Medina treat patients with complex endocrine and metabolic diseases including diabetes, thyroid diseases, obesity/weight loss, metabolic bone and calcium conditions, pituitary and adrenal diseases, along with other hormonal disorders. 

As a trusted board-certified endocrinologist and metabolic disease expert, Kwame Ntim, MD, can help patients manage life-long conditions. He cares for patients at Premier Endocrinology in Kissimmee and Altamonte Springs, Florida.

Dr. Ntim received his medical degree from the University of Ghana School of Medicine and Dentistry. He completed both an internship and residency in internal medicine at St. Agnes Hospital in Baltimore, and a fellowship in endocrinology, diabetes, and metabolism at the University of Florida.

Because he completed additional training, Dr. Ntim is currently board-certified in internal medicine, endocrinology, diabetes, and metabolism through the American Board of Internal Medicine. He’s also a member of the American Thyroid Association, the Endocrine Society, and the American Association of Clinical Endocrinologists.

Dr. Ntim previously held the role of assistant professor at the University of Florida College of Medicine under the division of endocrinology. During this time, he also served as the thyroid clinic director at the Malcom Randall Veterans Affairs (VA) Medical Center in Gainesville.

Dr. Ntim has extensive experience diagnosing and treating pituitary disorder, low testosterone, and adrenal disorder, among other chronic conditions, making it possible for him to help patients with a multitude of complex ailments. Dr. Ntim is currently accepting new patients.

Dr. Chamoun attended medical school at Nova Southeastern University College of Osteopathic Medicine and graduated in 2016. He completed three years of Internal Medicine residency at Broward Health Medical Center, a nearly 900-bed level-1 trauma center located in downtown Ft. Lauderdale, FL. There he developed a passion for hospital medicine and the care of acutely ill patients. Dr. Chamoun is Board Certified by the American Board of Internal Medicine. After residency he joined a team of hospitalists at Advent Health Palm Coast where he developed a proficiency for the care of complex hospitalized patients with extensive medical comorbidities. Upon realizing the shortage of available primary care physicians in town, so began the creation of Cedars Internal Medicine. Dr. Chamoun hopes to provide primary care in a mostly telemedicine format and deliver excellence and exclusivity to patients in a small membership-based practice.

Mario R. Perez, MD is board-certified in internal medicine and a medical director at SunCoast Premier Medical with locations in Clermont and Davenport, Florida. After graduating from Ponce School of Medicine in 1995, Dr. Perez went on to complete his medical residency in internal medicine spending time at both the Jackson Memorial Hospital in Miami, Florida, and Jose Gandara Regional Medical University Hospital in Ponce, Puerto Rico.

Dr. Perez prides himself on his extensive postgraduate training and broad specializations. Today, he serves his patients not only as an internist but by providing many cosmetic and aesthetic options, as well, such as wrinkle correction and injectables. He maintains professional certifications with the American Academy of Anti-Aging Medicine, the American Society of Medicine and Laser Surgery, and the American College of Aesthetics Physicians. With over 400 hours of clinical training, he offers a well-rounded service plan to his patients looking for a primary care physician who does more than most.