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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. 

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. 

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.

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

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.