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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. 

Dr. Samina Cherenfant is a dedicated internal medicine trained physician committed to delivering compassionate, comprehensive, and patient-centered care. She earned her medical degree from Caribbean Medical University in Curaçao and completed her internal medicine residency at Parkview Health in Fort Wayne, Indiana. Dr. Cherenfant brings extensive clinical experience to her practice through her work as a hospitalist at AdventHealth Orlando, where she manages complex medical conditions and coordinates inpatient care for diverse patient populations. This background allows her to provide thorough, evidence-based care with a strong emphasis on continuity between hospital and outpatient settings. Dr. Cherenfant is passionate about building long-term, trusted relationships with her patients and believes healthcare should be rooted in compassion, integrity, and excellence.

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. 

 

At Elite Endocrine and Metabolism Care in Altamonte, Florida, Kwame Ntim, MD, and the team deliver exceptional endocrine care with a patient-centered approach that makes individuals feel heard, respected, and supported throughout their healthcare journey. The practice is dedicated to helping adults achieve better health through comprehensive evaluation, personalized treatment plans, and ongoing guidance.

The practice specializes in diagnosing and treating a wide range of hormonal and metabolic conditions, including thyroid disease, menopause, perimenopause, polycystic ovary syndrome (PCOS), osteoporosis, obesity, low testosterone, high cholesterol, diabetes, and adrenal disorders. 

A defining characteristic of the practice is its commitment to compassionate, individualized care. Patients frequently appreciate Dr. Ntim’s outstanding bedside manner, noting his ability to listen carefully, explain complex medical conditions in understandable terms, and create a comfortable environment where questions and concerns are always welcome. Every treatment plan is tailored to the unique needs, goals, and lifestyle of the individual patient.

The practice believes that successful endocrine care extends beyond managing symptoms—it involves empowering patients with knowledge and support to make informed decisions about their health. Whether helping someone navigate menopause, manage diabetes, optimize thyroid function, address weight-related concerns, or improve hormonal balance, the goal remains the same: to provide high-quality, evidence-based care that promotes long-term wellness and improves quality of life.

Elite Endocrine and Metabolism Care strives to make specialized endocrinology care more convenient, personalized, and effective for patients. Call the office to schedule an appointment or request one online today. 

April Mieswinkel, NP, is a dedicated nurse practitioner who brings a wealth of experience and compassion to her role at One World Pediatrics in Longwood, Florida. Graduating from the University of Missouri-Kansas City's Master of Science Nursing program, April is a nationally certified nurse practitioner with a strong commitment to providing quality care to her patients.

April's professional journey spans over 15 years, during which she worked tirelessly in a rural family medicine clinic in Southwest Missouri. Her experience in this diverse setting equipped her with invaluable skills in caring for patients of all ages, particularly in pediatric care.

In her professional practice, April's interests lie in ADD/ADHD management, behavioral concerns in pediatric patients, and advocating for the well-being of her young patients. She is deeply committed to providing comprehensive care that addresses not only the physical but also the emotional and developmental needs of each child under her care.

Raised in Longwood, April recently returned to Central Florida with her husband Ron and their four children, Flint, Camden, Emmaline, and Buck. Family is at the center of April's life, and she cherishes the opportunity to create new memories with her loved ones through travel and exploration.

With her compassionate approach and extensive experience, April ensures that every child receives the attention and support they need to thrive.

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.

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. 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.

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. 

Dr. Roseline Nkoronye is an Adult Gerontology Acute Care Nurse Practitioner with a doctorate in Nursing. She is a hospitalist in internal medicine with one of the largest hospitals in Florida. She is an adjunct clinical instructor at Advent Health University and an American Heart Association Certified instructor for ACLS, BLS, PALS, Heartsaver CPR AED/First Aid. She is a Certified Health Coach and currently Chair/Editor for the National Association of Nigerian Nurses in North America Newsletter (NANNNA). She is very hardworking, passionate, and happy to serve and care for humanity.