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HomeMy WebLinkAboutExhibit 5Credentials Resumes, Curriculum Vitae, Certificates, Licenses For Medical Professional Staff th t will providing Hepatitis A and B immunization and test. STATE Of FLORIDA AGE 3 O — J DEPARTMENT EALTH DIVISION OF MEDICAL QUALITY ASSURANOE r.FNSE NO. CONTROL NO j1a59G • Tile . ADV REG-NURSE PRACTITIONER na med-t,elo', twas met all reglllfen,ents Ct 'the hws and1ruleG of the JUtete S I lloid3 Expirollon D2te: LUCY C,ASTELLANOS LICENSEE ATURE LUCY CASTELLANOS, MSN, ARNP-C 18151 NE. 31 St CT # 2009 AVENTURA, FL. 33160 COPY Phone: (305) 933-2576 Cell: (305) 753-3661 WORK EXPERIENCE 06/03- Present MT SINAI HOSPITAL HOUSE CALL PROGRAM ARNP • Routine history and physical exams. • Management of common and complex health problems. • Geriatric mental and social assessments. • Knowledge of geriatric community resources. 01/03 - 06/03 LUISA SZTERN, MD FAMILY NURSE PRACTITIONER • Routine history and physical exams. 01/03 - Present • Management of common health problems. • Management of medical emergencies in accordance with Basic Life Support Standards MIAMI DADE COMMUNITY COLLEGE NURSING PROGRAM CLINICAL INSTRUCTOR • Instruct in med-surgical nursing concepts, patient care, critical decision making and patient safety. • Supervise students' performance at the clinical sites. 12/97 - 01/03 CEDARS MEDICAL CENTER. MIAMI, FL. ADMISSIONS NURSE/CASE MANAGER • Provided assessments for admission criteria and obtained physician orders for all patients seeking care at the hospital. • Provided clinical review to insurance companies for medical certification. 1/95 - 10/97 COMMUNITY HEALTH CENTER. DETROIT, MI. PUBLIC I4FALTILNURSL. • Cared for multicultural population in an outpatient setting. • Patient/family teaching about diseases, medications, and preventive care. 3/92 - 12/94 EDUCATION 2000-2002 1998-2000 1991-1993 1985-1988 LICENSURE 1992 1988 CERTIFICATIONS 2002-2004 2002-2004 VENCOR HOSPITAL.. LINCOLN PARK, MI. CRITICAL CARE NURSE: • Provided nursing care for patients in the critical care unit. • Monitored patients on telemetry and mechanical ventilation, followed hospital protocols/doctors orders for treatment. • Assisted other health care disciplines as needed. o Florida International University. Miami, Fl.: Masters of Science-Nursing/Family Nurse Practitioner. o Florida International University. Miami, Fl.: Bachelor of Science -Nursing. o Miami Dade Community College. Miami, FI.: Associate of Science -Nursing. o Miami Dade Community College. Miami, FL: Associate of Science -Respiratory Therapy. o Registered Nurse/ ARNP. Florida License #2795352. • Registered Respiratory Therapist. Florida License #35804. • Basic Life Support (CPR) for Healthcare Provider. Advanced cardiac life support (ACLS) PROFESSIONAL ORGANIZATIONS 1997 to Present • Florida Nursing Association (FNA). CONTINUING EDUCATION (selected list) 02/2004 • Current Clinical Issues in Primary Care. 04/2004 • Prevention of Medication Errors, Domestic Violence, HIV. • RESEARCH ACTIVITIES 2002 SKILLS/ABILITIES REFERENCES Master's Thesis, Differences in Spiritual Beliefs and Practices Between Cuban and European American Caregivers of Terminally I11 Patients. Speak and write in Spanish fluently; Computer and internet usage. ' Furnished Upon Request. STATE OEOR1aa DEP 1f TM NT:or,,HEALTI-f OI.V1 10N QF' MEDICAL. QUALItY ASSURANCE ,.LJATE , 'LICENSE NO.' Q TM J.L NO. Od129r2010 ADV REG NURSE PRACT(TIO ER 2d belowit?'rn:ETail' reduireme l.S Of IwS.8nd.rule9 of'Ifr tgtote of Floida. .lion Daig;' N .:APR.(. 30,.20-2 •:fN4 MARIE MOORS MOROS ALTON FOAD, LOENSTEIN 8L0 , 13 Nit SINAI MEbIGa,L'ENTEfz IIREA6H;,rL. 3 141` `„ C4ariIQ;Ccist ARNE 3053772 1Z23Q84 QUALIFICATi N(S):' NURSE PRAC7tT10Nl R'.. a ADULT NURSE PRACTI;Ti©NER Apia M. Viamonte;,R0[#; • STATE SIJRG('ON`>i i�ENERAL DISE •AY IF RClUIRE6.bY LAW sr QUAUFICATfD 4S): . • EXPIRATION DATE: APRIL 30, 2012 .code number IS AttNh 30;37721 please uae it 14 4/1 correspond cote u th your bOnrdicounell., e"uch licensee is solely rasp oneibtt for nodfplra, the department in of the licenthe_a current m0i1,46 0d11(c84 uIo practice laeadan addrC9a. if you have.. not reeeiecid your renewal nodes 90 anye Prior to the 0X7lralloo dale D r, on )roe, olease call 1850) 496.0595. Gen to report name ehtar,gc. Name changes rbquire Icgal documentadan she»log ate name chongc. Plcoat make suer, uvicaphotocopy of one or the folleaoin6 _t drip rarin: a marriage liccnve, A 4ivor<e decree or a Court era er. A Jrivcrb lieenee er ooclat oecodty card fa not conDSdere4 leget decuexntAUen. Quality Asfuninet offer, yOu the conveniel ce of several oullnc 6eroicee. Theve servicestLla give you c ability renew your license, update Tour moiling and practice ellnressro one update your profile inform don. 1. Gn to VOW llheel thpource.coro 2. Click or. Ueenaee/Prnviaer 3. Click on Pract,Uoner Login 4. Cr•Iact your prolession 7, r�ttcr the Occnunt ID Ahd pn&owora thnt,0Tta providaa to you on your initial license rind ctidk on "Logler. 6. If you do qol. know your acoount ID an l password. clack un -Get Login tielpe o: [All our Customer Contact Center at (850) 488-0595 ro? aanlstancc. / DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY A LICENSING AND AUDITING SEEM( P.O. BOX G3Z0 TALLAHASSEE, FLORIUA 32a14-0: ME CIIAuGLIATSACI-I LEGAL DDGL SURANGE ES UNIT 20 MENLTATI[1N) ,$T FIfy51 FIRST MIDDLE M90DLE Sabrina Moore-Moros, MSN ARNP-C 810 NE 75th Street Miami. Florida 33138 (786)553-6807 Qualifications Dedicated Adult Nurse Practitioner with more than 10 years of nursing experience. Background Cardiology, Heart Transplantation, Medical/Surgical, and Internal Medicine. Flexible, quick learner who adapts easily to new situations and enjoys a challenge: Self -motivated professional with a commitment to providing quality nursing care. Strong organizational and communications skills. Credentials & Certifications Registered Nurse (License #3053772) Nationally Certified Adult Nurse Practitioner (#0346789) Basic Life Support Advanced Cardiac Life Support Education Family Nurse Practitioner Certificate- Barry University, August 1999 MSN, ARNP- Florida International University, June 1998 BSN- Florida International University, June 1996 Professional Experience Adult Nurse Practitioner, Jackson Memorial Hospital, Miami, FL - 2000-2006 • Responsible for over 80 Post -Heart Transplant patients (assessment, diagnosis, treatment, and management) • Responsible for Post -Heart Transplant patients when readmitted to hospital • On -call for Post-Heart/Lung Transplant patients Adult Nurse Practitioner, Dr. Rodolfo Dumenigo, Miami Beach, FL - 1998-2000 • Responsible for making rounds on all hospitalized patients (Medical/Cardiology) • Assisted with stress tests in Cardiology office • Provided appropriate Medical/Cardiology care, assessment, diagnosis, treatment, and management of patients in the office • Alternated weekend rounds on all hospitalized patients • On -call for Cardiology/Medical patients Telemetry/Step Down Unit Staff Nurse, MSMC, Miami Beach, FL .1996-1998 • Served as a staff nurse to Cardiology/Medical patients (CABG, valve replacements, PTCAs, MIs, CHF, AP, pre -op, PEs) • Alternated as the evening shift charge nurse Agency Nurse, Star One Staffing, Miami, FL 1996-1998 • Provided care to Medical/Surgical patients • Provided care to Telemetry patients Professional Affliations Served as President of the Nurse Practitioner Council at Jackson Memorial I-Iospital Member of the Golden Key Honor Society Member of Phi Kappa Phi Honor Society Languages spoken: English/Spanish Reference: Available upon request • Q •.'.$1TATE,C5F :FLORIDA : . • DEPAIRTIVIENTOF•HEALTH •-•-• Of n4EpicAL OUALITY.A$..SUF2ANCE „ . CONTRQLNO. i• •-• DATE LICENSE NO 05101,12010 • e ADV REG NpRSEiipiRACTITIONER medbelow."ha met of ws and rules of thd, state of Florida. ipiratibn Date 31, 2012 EjoRAFiiii6vvAfspiikcox NURSE PRACTITIONER: ADULT NURSE PRACTITIONER..i„i.:1...; °DALTON ROAD AMI BEAiCH, F.Li 3.3140i. 01)arlidi.Cript GOVERNOR g:4114,0,X Ana M. Viamonte Ros, STATE SURGEONiGENERALii ARNP 589312 1228145 QUALIFICATION(S): D <C tj _J oiLSUi W F- w 0 z w ID w CI 0 0 1 0 1 iz 0 • (1J CD LTi 0 uJ 0 co ARNP 589312 • .44 ... >9 c 2 , ar-.2 1 0 w Ul 0 Objective Summary of Qualifications Experience 6232 Northwest 201 Terrace Phone (305) 624-7340 E-mail Dwilcox269©aol.com Hialeah, FL 33015 To obtain a position as a Nurse Practitioner within an organization where I can utilize my specialized skills and acquired abilities toward a career with growth potential. • Background encompasses appropriate academic credentials combined with extensive experience in positions of responsibility reflecting excellent organizational and decision -making skills. • Highly communicative individual (written and verbal); capable of establishing a positive rapport with all types of people. • A self starter; ability to work well independently or as a team member. • Good learning skills combined with flexibility and ingenuity. • Dedicated to rendering the highest possible professional service and welcomes the challenge of new products. 2003-Present Miami Heart Institute! Mt. Sinai Hospital Miami, FL Senior Registered Nurse • Responsible for management of post -operative open heart surgical patient in the critical care unit. • Maintains and removes Arterial lines, Central Venous Catheters, Chest tubes, and care of Ventilator assisted patients. • Orientation of new nurses to the critical care unit. • Actively participates in the critical care in-service education program. • Relief Charge Nurse. 1998-2002 Miami Heart Institute Miami, FL Advanced Registered Nurse Practitioner • Extensive responsibility for complete management of pre -operative patients including histories, physicals, ordering labs, x-rays, EKG's, prescription, and discharge planning. • Developed Comprehensive History and Physical document along with Pre -Testing Surgical Packet. • Accepted and implemented administrative/medical changes and decisions as directed. 1992-19997 Miami Heart Institute Pre -Testing Charge Nurse • Developed and implemented Pre -Testing Unit. • Responsible for Nursing Assessments and Laboratory Data including, drawing blood and performing electrocardiograms. • Reviewed and assessed medical reports (Le. physician consultations, hospital reports, etc.). January 1992-July 1992 St. Francis Hospital Ambulatory Coordinator Miami, FL Miami, FL • Directs and supervises Ambulatory Care Unit, Endoscopy, Urology, and Pre -testing Departments. • Active participant in Quality Improvement, Staffing, Budgeting, and Education. 1998-1992 St. Francis Hospital Miami, FL Pre -Testing Charge Nurse Responsible for Nursing Assessments and Laboratory Data. Reviewed and assessed medical reports (Le. physician consultations, hospital reports, etc.). 1981-1987 St. Francis Hospital Miami, FL Nurse Manger Staffed and managed an 8 bed critical care unit, including 24 hour accountability. • Active participant in performance improvement, staffing, budgeting, recruiting, and education. 1976-1980 St. Francis Hospital Critical Care Nurse Miami, FL • Provide Nursing Cam to post -op open heart surgical patients. • Assist in the care of A -Lines, CVP lines, and Ventilator assisted patients. Education • Relief Charge Nurse. 1971-1975 St. Francis Hospital Staff Nurse • Provide Nursing Care to Medical -Surgical Patients. • Relief Charge Nurse. 1995-1997 Florida International University • Masters of Science in Nursing (ARNP) • Adult Health Nursing Specialty Miami, FL Miami, FL 1973-1975 Florida International University Miami, FL • Bachelors of Science Degree in Nursing (BSN) 1967-1971 Miami -Dade Community College Miami, FL • Associate of Science Degree in Nursing (ASN) Licensura/Cerficate • American Nurses Credentialing Center (ANCC) 1998 • Registered Nurse 1971 • Critical Care Registered Nurse (CORN) 1982 • In-service Instructor Organizations • American Academy of Nurse Practitioners (AANP) • American Association for Critical Care Nurses (AACN) References Excellent personal and professional references are available and will be furnished upon request. STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE DATE AC# 3.46128 0 LICENSE NO. CONTROL NO. 06/10/2009 PN 256341 The LICENSED PRACTICAL NURSE Hamad blilow has met all requirements of the taws and rules of the state of Florida. ..Expiration Dater' JULY 31, 2011 PATRICIAANN WILSON / //1 293060 Patricia Wilson 18125 NW 49th Ave, Miami, FL 33055 Cell: (305) 467-8701 Home: (305)624-9210 Pwilson@msmc.com Professional Summary Licensed Practical Nurse with over 30 + years experience in clinical hospital settings in providing nursing care. Core Qualifications • Licensed Practical Nurse in Florida • Strong clinical judgment • Analyzing information and evaluating results • Assisting and Caring for Others • Documenting/Recording medical information • Strong communication skills with Supervisors, Peers, or Subordinates • Collect/ Train DOT drug testing collections for over 10 years • Knowledge of relevant equipment, policies, procedures, and strategies Experience July 2000- Present Mount Sinai Medical Center, Miami Beach, FL LPN — Occupational Health Department • Administer prescribed medications and vaccinations • Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse and respiration. • Prepare patients for examinations, tests or treatments and explain procedures • Supervise medical assistants with daily clinical activities • Train on DOT collections and procedures • Train and performs EKG, Vision, Hearing, Glaucoma, and Collect Labs • Analyzing information and evaluating results to choose the best solution and solve problems. September 1971- July 2000 Mount Sinai Medical Center, Miami Beach, FL LPN- Telemetry • Evaluate nursing intervention outcomes, conferring with other health care team members as necessary. • Provide medical treatment and personal care to patients • collect specimens from patients • prepare patients for tests, therapy, or treatments Certification/ Licensed • CPR • State of Florida Licensed Practical Nurse • Administration of Medication and vaccination • IV Certification • Certified DOT KENNETH J. KAPLAN; M.D. 12300 NE Miami Court North Miami, FL 33161 PERSONAL DATA: Place of Birth — New London, CT Date of Birth — December 23, 1959 Personal and Professional References upon Request CERITIFICATION AND LICENSURE: Board Certified Internal Medicine Medical License — Commonwealth of Mass. Medical License — State of Florida Certified Medical Review Officer by AAMRO Certified Substance Abuse Professional EDUCATION: Medical Doctor: B.S.M.E,: Graduate of New 1999 1988-1995 1994-present 2001-present 2003-present Tufts University School of Medicine Boston, Massachusetts Tufts University College of Engineering Medford, Massachusetts Suma Cum Laude London High School New London, Connecticut Valedictorian HONORS: Tau Beta Pi Engineering Honor Society Tufts University — Medford, Massachusetts POST GRADUATE TRAINING: al Residency Institution Medicine, of Tufts University School tof Medicine88 /associate Internal Boston, Massachusetts Chief Residency in Ambulatory Medicine Faulkner Hospital Boston, Massachusetts 1988-1989 STATE OF FLORIDA DEV R t1ENT OF,HEALTH AtyC Dt�14SlON OF MEDICAL ClUAL4TY;A4S .lj,R NTRQL f3a 3II3131 The AtitEICAL DOCTOR '" I Warned"below tics met al requirements of a al Et taws acid rules of 1-t1e state of Florida. FxpiraGari Date- . , JANUARY 31, 2012 o KENN> "H'JOSEPH ItAFWI i230o HE UHAMI CT... NOR1 H %CA?9% 3-316-1 • O [n i N 0 0 IV Ghai'de Grist GOVET R QUAUFIGAIIQMSj:• DISPENSING PRACT]TIUHER a- M. Viamor Ros, K.. :.M:F:H...-:- STATE SURGEON GENERAL DtSPtAY 1F REC�EJ1REil 6Y LAW N 19 Y 8 74 Z �r B G Cl.. X. a . ci•z Y 0Fa 6 J " 2 cn: LL Zii� r u `o _ {— qE ,tea a LL, moo r1z X ABMS® Board Certification Credentials Profile A service provided by the American Board of hledica/ Specialties Beare a j ;z�rc i S Resalts ±=ee.eda�ac:;t ! Save Phys cigar± I Pr`ini: _� Kenneth Joseph Kaplan (ABMSUIj7 621822 ) Viewed:8/9/2010 9:43:21 AM CST DOB: 12/23/1959 • Status: Alive Certification American Board of Internal Medicine Certified Status: Internal Medicine - General StaStas: 12/07/2009 - f2/31/2019 Active Time -Limited Recertification Expired Time -Limited Initial Certification 08/24/1999 - 12/31/2009 Education 1985 MD (Doctor of Medicine) Location • Private powered by Direct . I! Connect' Notice: It is up to the user to determine if the physician record obtained from this service is that of the physician being sought. The information as presented by this service is approved for 'business use and is valid to meet the primary source verification requirements for credentiarng as set by JCAHO, NCQA, URAC arid other accrediting agencies. The ABMS physician specialty certification data provided by CertiFACTS On -Line is proprietary and copyrighted by the American Board of Medical Specialties (ABMSO and subject to the intellectual property laws of the United States. © 2006, ABMS, All Rights Reserved. The Powered by ABMS Direct Connect and ABMS Official Display Agent logos are registered trademarks of the American Board of Medical Specialties. „- nn __ .-f .,� v�ahmciiirl=(21822 8/9/2010 The course curriculum was approved by Intoximeters, Inc., the manufacturer of the Evidential Breath Test Device, and complies with the manufacturer's standards tor the operation of the instrument. ;;;iir r", MS •/ 1 -�r ...._._.r,,;C.,,."s:.51:55C9�,.:ra`.:,MVPMMF5....V,nM,.,:,ter. Certificate of Completion This certifies that on February 18, 2008 Kenneth Kaplan successfu ly completed the curriculum specified by the Department of Transportation (DOT) and curriculum specified by Intoximeters. Inc. for certification as a Breath Alcohol Technician (BAT) and Factory Authorized Calibration Technician The curriculum preserted corresponds with the.DOT's BAT model curriculum established pursuant to 49 CFR Part 40 Procedures. It also corresponds with Intoximeters, Inc.'s proficiency in the use of the Evidential Breath Testing (EBT) curriculum which includes a review of the Evidential Breath Test device's Quality Assurance Plan, and requires demonstration of proficiency in conducting calibrations, calibration checks and the operation of the: ALCOMONITOR CC Intoximete-s. Inc. Expires: February / 2013 u:iluilu I4u (vi:uit " m.h.•,;%i .iuw.4i1lL 4...l�. ... .:N Greg Clark, Instructor 13318 -J 3 and authorizes Certificate of Completion This certificate is awarded to Kenneth Kaplan for successful completion of the into xirnnters Instructor Course 01, held on February 19 - February 20, 2008 the participant to train Factory Authorized Calibration Technicians in accordance with requirements outlined under the Intoximeters Factory Authorization Agreement for Calibration Technician Trainers. For the Intoximeters Model ALCOMONITOR CC Intaximeters, Inc_ Expires: Februa1 / 2009 NAgYa r L4WF-16:(46-1 isl" ": Greg Clark, Instructor Certification Number: 11972 v FKO, 1,e�� Joshua M. Trabin, .I�. 2951. South Bayshore Drive, 4311 Miami, FL 33133 (305) 924-5221 Faculty Appointment Mount Sinai Medical Center Miami Beach, Florida -Associate Program Director of the Internal Medicine Residency -part of a traditional internal medicine group practic: that is involved in (July, 2008-Present) tcachina residents and medical students -Faculty and supervising attending for the resident outpatient clinic Committee Membership Mount Sinai Medical Center Miami Beach, Florida Academic Affairs Committee Medical 1Vlansgcment Advisory Medical Review Committee Rcsidcncy Interview Committee Residency Management Team Post -Graduate Training (July, 2007-Present) Committee (July, 2008-Present) (Jul}, 2007-Present) (December, 2007—Present) (July, 2007-Present) Mount Sinai Medical Center Miami Beach, Florida Internal Medicine Chief Resident Internal Medicine Resident internal Medicine intern North Shore University Hospital Manhasset, New York Obstetrics and Gynecology Intern (July, 2007-July, 2008) (July, 2005-.Tune, 2007) (June, 2004-June, 20_05) (July, 2003-May, 2004) Education Doctor of Medicine University of Miami School of Medicine Miami, Florida $achelor of Science, Biology It'lajor University of Miami Coral Gables. Florida Honors and Leadership Residency Mount Sinai Medical Center Howard Kane Resident of the Year Award Mount Sinai Medical Center Department of Medicine Chief Resident Award American College of Physicians Chief Resident Award Association of Program Directors in Internal Medicine Chief Resident Conference Florida Chapter American College of Physicians Tallahassee visitation Trip Selected Chief Resident for the Academic year of 2007-08 (blay, 2003) (Mai', 2000) (June, 2008) (June, 2008) (September, 2007) (April, 2007) (March, 2006) (September, 2005) Medical School Cushing Academic Society (2002 2003) Community Service Director (2001-200y) Assistant Activities Coordinator Maimonides Society (1999-2000) Vice President (July, 1999) Jewish Leadership Institute Undergraduate Graduated Gum-Laude Honors Student Association Beta Beta Beta (Biology Honor Society) Golden Key National Honor Society National Honor Society of Phi Kappa Phi Dean's List x4 Provost's Honor Roll x2 Alpha Epsilon Delta (Premedical Honor Society) Honors Program in Medical Education Post -Graduate Research and .4 eadernic Projects Lecturc: Updates in Cervical Cancer Se:reenin i(June, 2008) it (June, , 200 ) Lecture: Auscultation of' Heart Sounds , 2007) Lecture: Updates in Cer(June vical Cancer Screening (February, re, 2007) Lecture: MICU Conference: Sepsis Lecture: Morbidity and Mortality Conference: 2007) Pneumocysris jirovecii pneurnonia (Jan mill, Lecture: Clinical Vignette: er; b2006) Pancreatic Endocrine Tumor (November; 200 56)(November,200) Lecture: Chronic Pancreatitis ( Lecture: Clinical Vignette: SC Disease (August, 2005) ) Lecture: Cervical Cancer Screening (April, 2005) Lecture: Renal Disease and Pregnancy Case Report: A patient with G1 manifestations • (October, 2005) of amyloidosis (unpubfishecf) Professional Society Affiliations American College of Physicians Member American Medical Association Member Association of Program Directors in Internal Medicine Member License Florida: ME # 100162 DEA# FT0579257 Examinations American Board of Internal Medicif5: Passed in August, 2008 USMLE Step 3: Passed in May, 0 USMLE Step 2: Passed in May, 2003 USMLE Step 1: Passed in June, 2001 u 0 STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE DATE LICENSE NO, CONTROL NO. 01/20/2010 ME 100162 309972 MEDICA DOCTOR ned below as met ail requirements of laws and r Jles of (he state of Florida. 1iretion Oat_: JANUARY 31, 2012 ;HUA MICH • EL TRABIN 0 ALTON R AD VENSTEIN•=UILDING MI BEACH, FL 33140 TED STAT x S Charlie Crist Ana M. Viamonte Ros, N1.D.. M.P.H. GOVERNOR STATE SURGEON GENERAL DISPLAY IF REQUIRED BY LAW EXPIRATION GATE JANUARY 31, 2012 license numb sr is ME 1001t2 pl east u9t iL In All corp.: spoorlente wlLti your Iron ftl /cnunr.il. ly)f.h lircrunn io 1cirly re5pon5IUle for natifl'Ios etc dcprt=cr.c:r. +en'=.> licensee's cu runt. mui ling nddreso and practice location addrcsa. If you have nul received your rnnew:d miller 411 day-. prior to ;he e.epir3don date shcan on ic, Please call (850) 488.0595. 'ti9 section to eport name changC. iiame•thangc: require Icgol documentation showing the noon: drone^-. Pleoce make sure ;hot :r pha:ncopy ernnr or J:c •ra' cneln; I paniea r5lis 5 rm: a marriage license, 0 divorce Jeerer, or a court ordcf• A driver's 11Ceoae or snclol seCurIt/ Card Is not considered legal doencroutloo. :it QualiLv As lurancc opera you Lhc convenience of se•,eral online servicc;. These services give you die ability to r•new vour license, update yo-r='rvltne =." proc:'cc on addresses and update your profile inforntation. L. Go to ww.flhealthsonrce.cnm Click on Licensee/Provider 3. Click on Practitioner Login 4. Sciccr.your profcssioo -5. Enrer hC 3CCount ID and peer word that was provided myna nn your initial liccnac and click on "Login 6-. 11 you do not know your aceount 10 and pas9'„ord, ellek on "Get Lpgln Het p" no roll our CUiromer Conrad Caner at (8301 4°8•059) for essisLanCC' Li AEL TRABIN JO9FIUA MI TO. DEPA TMENT OF HEALTH DIV(SIC'N ORMEDICALCUALITY ASSURANCE LICEN ING AND AUDITING SERVICES UNIT P.O.BX6320 • TALLA ASSES, FLORIDA 32314-6320 NAME CHA GE (A1TACH LEGAL DOCUMENTATIOrd) M. LAST _-_ FIRST . LAST 103. 5/98 -MOLE FIRST MIODLE JUL-15-2010 09:52AL1 r:RCM- Nikc'.`5` AAMRO AthEf THIS IS TO CERTIFY TI-HAT U4111(1) lip,( in presented to the Executive Board of the American Ationa'o f �aU g Medical Review Officers satisfactory evidence of the qualifications ;laving passed an approved examination before ri-Ca4 cAsstnialii7n if a1 RIIth (1fficr etenc and expertise in accordance with national standards he of �� Q predited and designated established for .Medical Review Officers, is -423 P 002/002 F-915 Oft as a Given and dated this certified bias Athithi (ffi er and by order of the ilillkfRO Board has been entered as such in the AAM.RO Registry of Certified Medical Review Officers -a,'C1.), o) Counrersioned and sealed with the Seat of the American Association of Medical Review urrir;'rc the day and duce aboee Written -�_ c,,.-ffInni C'erri cateNumber 0 J 06i - `r \Jeri ['cation of Physician, certification American Board of internal Medicine Search Results Search Results Verify Another Physician's CcrtifIC tion: by... Dr. Joshua M Trabin certification Certification History Certification Area Status Certified Certified 08/1912008, fraternal Medicine Certificate valid through 12/31/2018 End of list For more details about ABIM Certification, see below: Reporting Certification Status Board Eligibility Representation of Certification Status Suspension and Revocation of Certification source verification. s of notification to physicians. Data elements, 'ABIM's website serves t primary by ABIM. suchh "Certification changes, is ,updatedreu to thisdsystem weciordn 5s w thin 24 hours of being processed such as name changes, are updated in ABIM s r�c ons issued in 1990 (1987 for critical care medicine and 988tes. To remain rgeriatric valid, medicine) d ci e) and ere ABIM certifications fl ears. Dates of validity are noted an the thereafter are oust for en y h ABIM's Maintenance of Certification program. su certificate Certifications holders issued before these must a valid in ttrong BIM strong Y to before these dates are valid indefinitely, although A renew as well. st_red tredernark of ©2004 - 2010 American Board of Internal Medicine. Alt rights reserved 1 The ABIM Icgc is a eg ` American Board of Internal Medicine.. I'agc i (11 I Warm A9ir1ID NPI; C.urnillents 1987-88 1988-91 1991-93 NAME: ADDRESS: PHONE: CORR:CJLCN VITAE Gerardo Minsal, M.D. 4491 Foxtail Ln Weston, F1 33331 Ph: (706) 797-9699 Beeper: (305) 839-2248 E-mail: GMINSAL@hotmail.cow, EDUCATION AND TRAIi�1 G: 1978 Graduated - La Piedad High School Puerto Rico_ 1979 University of Puerto Rico, Rio Piedras Campus, Puerto Rico. 1983 Doctor of Medicine, Universidad Central duel Este, School of Medicine, San Pedro de Macoris, Dominican Republic. Internship, Caguas Regional Hospital, Caguas, Puerto Rico. Internal Medicine, Caguas Regional Hospital, Caguas, Puerto Rico. Geriatric Medicine, University of Hawaii at Manoa, Kuakini Medical Center, Honolulu, Hawaii EXAMINATIONS: 984 Educational Commission for Foreign Medical Graduates. ]987 Puerto Rico Board of Medicine 1992 FLEX 1996 American Board of Internal Medicine 1998 Certification of Added Qualification in Geriatrics 1 PROFESSIONAL EXPERIENCE: Dec. 1998-present: Staff Geriatrician, Mount Sinai Medical Center of Greater Miami, 4300 Alton Rd, Miami Beach, Florida. 33140 Jan_ 1998- Nov 1998: Associate Director, Life Care Nursing Home, Crossing Blvd, Orange Park, F1. Nov. 1995- Nov 1990: Medical Director, Medwise Center at two locations, 5500 8landing Blvd. # 1, Jacksonville, FL and 3189 Us" Hwy 17, Green Cove Springs, FL. Nov. 1996-July 1998: Medical Director, Oak Terrace Nursing Home, Green Cove Springs, FL. Nov 1996-Nov 1998: ACLS Medical Course Director, Heart Start, Orange Park, Florida. 1996-1998: Utilization Conmittee, Member. Orange Park Medical Center, Orange Park, F1. ept_-Oct 1995: Medical Director, La Posada Nursing Home, Miami, FL. 993- May 1995: Director of Geriatric and Family Consultation Services, Division of Geriatrics, Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. ug 1993-Jun.1995: Assistant Professor of Medicine, Division of Geriatrics, Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. ug 1993-Jun 1995: Director of Medical Students, Division of Geriatrics, Department of Medicine, John A. Burns School of Medicine, University of Hawaii , Honolulu, Hawaii. 92-1495: Advance Cardia_c� ife aupport Instructor, Queen's Medical Center, Honolulu, Hawaii ILIT.:IRY EXPERIENCE: 1988-1991: Puerto Rico Army National Guard, Juana Diaz, Puerto Rico !991-May 1995: Hawaii Army National Guard, Honolulu, t waii Offices in charge of. the Cardin-vascula` Screening Program. April 1997-present: Medical Officer, Florida Air National Guard, Camp Blanding, F1. THER PROFESSIONAL EXPERIENCE: 1991-1995: Physician Consultant, Honolulu Heart Program, Kuakini Medical Center, Honolulu, Hawaii. H'NORS AND AWARDS: A. y Commendation Medal, Puerto Rico Army National Guard, 1990 State Active Duty, Hawaii Army National Guard, 1993. Hurricane Iniki relief mission. G axo Travel Grant 1993 DICAL LICENSURE: Florida: ME0069508 PROFESSIONAL. ORGANIZATIONS: Am rican Medical Association Am rican Geriatrics Society Florida Medical Association Am:rican College of Physicians American Medical Directors Association Cr MMUNIT: AND STATE ORGANIZATIONS: 1 93-1995 Member, Immunization Task Force, Department of Health, Honolulu, Sc7LECTED RESEARCH: Principal investigator, Suicide: The Honolulu Study, Poster Presentation at the _rican Geriatrics Society_ A study to investigate the suicide frequency in a mu ti-ethnic community. T-1/5. P 001/0ii1 F-0,15 :'_-0i-2010 11:?S'/i FrtC1- ACg 7 E 2 7 0 3 STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE DATE 01/21/2010 LICENSE NO. The MEDICAL DOCTOR named below has met all requirements of the laws and rules of the state of Florida. Expiration Date: JANUARY 31, 2012 GERARDO JOSE MINSAL-BALLESTER OPDILOWENSTEINS BLDG 1ST FL. 4300 ALTON ROAD MIAMI BEACH, FL 3314D UNITED STATES n� Charlie Crist GOVERNOR ME 64508 CONTROL NO. 310345 `?-4...„.„P;,,,t Ana M. Viamonte Ros, M:D:,,M.P.H. STATE SURGEON GENERAL DISPLAY IF. REQUIRED BY LAW RD OF f INCORPORATED 1936 ATTESTS THAT (!erarrn J. filtinsal HAS MET THE REQUIREMENTS OF THIS BOARD AND IS HEREBY CERTIFIED FOR THE PERIOD 2007 THROUGH 2017 AS A DIPLOMATE IN INTERN AL MEDICINE 2007 Pauc i of t Verification of Physicians certification Hcme ikneriran Board of Interna' Medicine Search Results Search Results Verify Another Physician's Certification: Comments Dr. Gerardo Jose Minsal Certification Certification History Certification Area Status tified Certified 08/2111996, Internal Medicine CerCertificate valid through 12/3112006 Certified 05/15/2007, Certificate valid through 12/31/2017 Diplomates may choose to Not Certified Certified e11 valid1998, renew only those certificates Geriatric Medicine Certificate valid through most relevant to their 12131 /2008 practice. End of list A 19105 © 2004 - 2009 American Board of Internal Medicine i 510 Walnut Street, -Suite 1700, Philadelphia, P Name Candidate? NPI SAMIRA NI. HABIBNEJAD, M.D 1431 SW, 171 Terrace Pembroke Pines, FL. 33027 Home: (954) 499-5923 shabibnejad@yahoo.com Personal Information: Date of birth: February 18,1969 Citizenship: USA Marital Status: Married Languages: English, Farsi Education: Graduate: Post graduate: Positions held : Oct 2003- Present 1987-1995 Iran University of Medical Sciences Tehran, Iran Medical Doctor degree 2002-2003 Mount Sinai Medical Center Miami Beach, FL. Internal Medicine Residency 2000-2002 Easton Hospital Easton, PA. Internal Medicine Residency Medical staff and Internal Medicine Attending for Out patient department at Mount Sinai medical center. June 1999-July 2000 Dec 1998-May 1999 Member of Utilization Review Committee at Mount Sinai and Miami Heart Institute. Fellow of Special Immunology University of Miami School of Medicine Jackson Memorial Hospital Miami , FL. Observer , department of Medicine Jackson Memorial Hospital Miami, FL. June 1998-Nov 1998 July 1995-Mar 1997 Research: Medical Licensure: Certifications: Presentation: Society Membership: References: Research coordinator Interventional Cardiology Cedars Medical Center Miami, FL. General physician Public Health Center Bandar Abbas, Iran Double blind study to determine safety and efficacy of anti platelet agents in post PTCA patients. Cedars Medical Center, Miami, FL. State of Florida, ME88214 (Expires on 1/31/2005) (Certificate No. 0-579-896-2) American Board of Internal Medicine ECFMG -Certified Jan.29,1999 " Chryseobactrium meningosepticum cellulitis following Jet ski accident."a case report. Pennsylvania Coalition for Internal Medicine. ACP/ ASIM. ( Pittsburgh, PA. Nov. 2001) American College of Physicians American Medical Association Pennsylvania Medical society 2001 - Present 2002 - Present 2000 — Present Gloria Weinberg, M.D, F.A.C.P. Program Director of Internal medicine Mount Sinai Medical Center, Miami Beach, FL. (305)674-2053 D. Allen Young M.D. Associate program -Director -of -Internal -Medicine Mount Sinai Medical Center, Miami Beach , FL. (305)674-2438 Wesley Kozinn, M.D, F.A.C.P. Director of Medical Education Easton Hospital , Easton, PA (610)250-4906 David Kemp, M.D, F.A.C.P. Program Director of Internal Medicine Easton Hospital, Easton, PA. (610)250-4515 Stephen Symes, M.D. Associate Program Director of Internal Medicine University of Miami School of Medicine Jackson Memorial Hospital, Miami. FL. (305)243-4598 AC4 214O`3 O STATE OFFLORIDA DEPARTMENT OF HEALTH DICAL QUALITY ASSURANCE DATE. 'LICENSE N0. CONTROL NO. 11/25/2008 ME 88214 263402 The MEDICAL DOCTOR named below has met all requirements of the laws and rules of the state of Florida. Expiration Date:. JANUARY 31,'2011 SAMIRA MAHMOUDI HABIBNEJAD MOUNT SINAI HOSPITAL, OUT PATI 4304 ALTON ROAD, GREENSPAN MIAMI BEACH, FL. 13140 UNITED STATES Charlie Crist GOVERNOR Ana M. Viamonte Ros, M:D,, —STATE SURGEON GENERAL DISPLAY iF REQUIRED BYLAW ARID OF INTER INCORPORATED 1936 ATTESTS THAT nmirtt fitalpraiubti BabilytizOb HAS MET THE REQUIREMENTS OF THIS BOARD AND IS HEREBY CERTIFIED FOR THE PERIOD 2004 THROUGH 2014 AS A DIPLOMATE IN INTERNAL MEDICINE (,,,,, 6,--, '24,, 7aist ( /C:0-, RvVe,? �w./�EP - rl .. �C. t,/.a4'/S-' �1�'�/✓'n-�-li i'�� a.� (_- . ..� - 1 � r ,. ... _ .. \lam' J I 11 C2184 76 2004 ham J%�ixcz y/� Psac l of 1 ieation of Physicians certification American Board of Internal Medicine Search Results Search Results Verify Another Physician's Certification: by... Dr. Samira Mahmoudy Habibnejad Comments Certification Area Certification Certification History Status Internal Medicine Certified Certified 08/24/2004. Certificate valid through 12/31/2014 End of list Name ASIM IC NPI For more details about ABIM Certification, see below: Reporting Certification Status Board Eligibility Representation of Certification Status Suspension and Revocation of Certification *ABIM's website serves as primary source verification. "Certification status is updated to this system within 5 days of notification to physicians. Data elements. IM. such as name changes, are updated in ABIM's records withine 24 hours of being medicine and 1988 rfor geratbc med clue) and "'All ABIM certifications issued in 1990 (1987 for critical car eABIM's Maintenance of Certificationprogram.og h certificate lholders to thereafter are valid for 10 years. Dates of validity are noted on the certificates. To remain valid, these certifications must renewed throughrstrongly recommends before these dates are valid Indefinitely. although ABIM renew as well.. l rights reserved. I The ABIM lobo is a registered trademark of the ZOpa - 2010 American Board of InternaAmerican Bolard of Internal Medicine. Date of Birth: Nate of Birth: Marital Status Address: CURPACWAJM VITAE PHiLLP SAMET, M. 1/30/22 New York, N.Y. Married - three children 5951 Alton Road, Miami Beach, Florida 311'40- FORMAL EDUCATION B.A. - June 1942 New York University College of Arts and Pure Sciences New York City M.D. - June, 1947 Wew York University Collede of Medicine Wew York City ADDITIONAL TRAI.NiNC - MEDICAL Internship - Mount Sinai Hospital, New York - .July, 1947 - June, 1948 Re1dent InternalMedicine -- Bronx Veterans• Hospital, New. York July,1948-.June,195Q Resident - Internal Medicine - Mount Sinai Hospital, New York - July,1950 - June, 1951 A55't Attending Physician - Irvington Howe Foliowup Cardiac Clinic for Patients with Rheumatic Heart. Disease: Or. Arthur DeGraff, Chief, 1947-1955 Research Fellow - Cardiopulmonary Laboratory - Bellevue Hospital (Chest Service and First Medical Division - Columbia UnIv. College of Physicians and Surgeons) under Dr. A.C.. Cournand and Dr. D.W. Richard, Jr. July, 1951 - June, 1953 Senior Ass't Surgeon - U.S.. Public Health Service Hospital, Manhattan Beach, July, 1953 - June, 1955 • UNIVERSITY APPOINTMENTS University of Miami School of Medlcine, Instructor, Dept. of Physiology - Ass't Professor of Physiology - Associate " Ass't Professor of Medicine Associate " Professor of Medici6 Coral Gables, Florid 1955-1356 1956f957 1957-present 1956-1959 1 ci59- 1970 I f_170-prst,n1 CEFITIFICATIONS American Board of Internal Medicine: Cert. No. 12093 May .5, 1955 Subspecialty Board of Cardiovascular Disease Cert. No. 12093 December 12, 1959 Fellow - American College of Cardiology Associate Fellow - American College of Physicians 1959 Fellow - American College of Physicians 19814 -CV - page 2 STATE LICENSE Florida HONORARVES Phi Beta Kappa Alpha Omega Alpha HO5PITAI—APPPJ*NENTS Attending in Medicine Attending Physician Dept. Internal Medicine No. 638N Senior Attending Physician, Dept. of Internal Medicine Director, CirdpufmQnry Laboratory Chief, Division of Cardiology, Dept. of internal Medicine January 15, 1955 Jackson Memorial Hospital Mount Sinai Medical Center, Miami Beach, Florida Mount Sinai Medical Center, Miami Beach, Florida Mount Sinai Medical Center, Miami Beach, Florida Mount Sinai Medical Center Miami Beach, Florida 1956 - present 1957 - 1944 1964 - present 1955 - present 1964 - present SOCIETY MEMBERSHIPS American Medical -Association American College of Physicians American College of Chest Physicians American College of Cardiology American Heart Association Heart Association of Greater Miami American Association of University Professors American Physicians Fellowship, Inc. for the Israel Medical Association The Biomedical Engineering Society Alpha Omega Alpha Honor Medical Society American Association for the AdvanceMent of Science American Society for Clinical Pharmacology 6, Therapeutics American Medical Writers- Associetion American Society of Internal Medicine National Rehabilitation Association American .Physiological Society Florida Heart Association Florida Society of Internal Medicine American Federation for Clinical Research International Study Group For Research in tarmac . CV - page 3 OTHER AffD.I.NTMENTS Editorial Board - FACE Editorial Board - Catheterization and CardiovEi5cular Diagnosis formerly Editorial Board - American journal of Cardiology Formerly Editorial Board - Circulation Formerlythairman, Committee in Cardiovascular Physiology - American College of Chest Physicians Formerly Prooram Committee - American Heart Association Editorial Board - Mount Sinai Journal or Medicine Editorial Board - Journal of the Ameri nn College of Cardiology IATIF• .OF 11..011triA • DV.,e/k1:111111±14T 6F HEALTH .01V1$1.014 or orti copASSLIRA N . , , . .1 • • •• • • — QTE LICEt-iSti rnc_.)t, 01167121110 ME Faivt4 1)CprcR maxi t1a5.6714 A mr,,,...Orsognts ct rri.e at II I.,tt f Ftoildr3 EApliglion E4-gity, 3.AtqUARY 31, 2012 Ptino EstifOrt,M0 d•301) fit 00;40 F3" T. 0# EtOrriliODPARDIoGRAPPii? tiltAhlt 13t '03140 UKITED 3 T ALIES ) I „t1 V ii14D. • 14-t-irirr4,,,, r-41-1 Nr-4, 10i f. (),,, 14_0 4i 1:47.4 RNOR STATE SL.4.1C4t.-01-4 (3.7.:N^E. RN. I '', • i ..., •,:.,:. e:. h',.., 1/4. ...•,.., , . 7 .., jAtigAtty Ro • lt, : • • e CAOX V 1.1 ,•• • ,,, 1,', c Yfrci4,: rs-714:iT kto ;;•7 fth; ! N •-• 7 • •„,,,,,•ul )•1",i1 V.f+47rjd!3:7 , z•rt,i C, _ • --r er.F ri tlef.r :51r1rt• crrd uct ct..n.tjUre'Ll I r-O.CA r rkn-117. krA •nreta:ar Trrcs 4 '0I.V.:11.1,`,.1. rtlf !fp 4,:z.4.11.., !tr.r. 1.17. /37.*; a • i : I Lf,' • E :;.41 f7.1 AMERICAN COLLEGE OF PHYSICIANS AeA4ceAllited +lily Sintk �iire,mPl TyzP;:�rP��p�.i��nmtcrzTdor �� 11P-U(ri'qi\L: Eat iCATION: Orlando Santana, .M.D. 6770 Indian Creek Drive, 8-1) Beach. 11 37\141 D .0 B 2/11/61 Nlarried to Roxiinna Ceara. M.D. no children U.S, citizen S.S, 560-17-54-61 University or Miami School of. Medicine. Coral Gables, Florida (1983-1q87) Deurer: Univcrsity Nliami, Coral Gables, Florida (19.80-1983) Deorce: 13.S. Universily of Loyola i1 chicilo (197Q1980) Augustana Summer School in Spain- I 97X studied Spanish Civihzation and Culture . pc).S-1 Ciardiolot.y 1:cliowslmip, Mount Sinai N1 cchutl ('„enter, Miami Beach, Florida ( Li CJNSTJRJ: • BOAR D CER TI cATioN: Residency, interim! Ivietli.eine.. Mount, SiTmi :Modica] Center. Miami Beach, Florida ( 199()). Medical License: State of Florida. 'November i989 5 3 387 BS I 933589 •1 menial Nledieine. Scpirmber 12. 1990 t..ar(uo A WARDs: PRES1F,NTATIorsts: Pain Research - lniversio.: of lvliarni 1985 1::escarch on Suicide University or Miami 1 Named -Outstandinct•Fellov., ofthe Year' 'by -the medical residents and the Department of Irtternal•Netrdieinc, 1991-1992. Ott Mandi 11.2_ Fellov,, of the 'Year -Department of N4cd e inc 1992- J993 "Thrand-wcylopenia associated with Lepiospirosis". C)titstandim? fltescflftU ftn .Mtni Sinai -N,Icciical Center. Miami .Beacli, Floridn-N.,k-ch 1 "Thromhneylopenia associated with 1...eptospirosis". (:)iitstanding presentation at R,ei.iional ACP Mectipg-Tampa„ Florida -Oct. 14811•1. Medical Jeopardy Contestant-ACP ivccing March 1 Medical Jeopardy Contestant-ACP Mectinf,,,, November Second Place in State ol Florida. Medical Jeopardy Contestant-ACP March 19b90-'skinner. icopardy Contestant-A(P 'Meecing, October Second Place in State of Florida. kesikient 1,ecture Series, ivlount Sinai Medical C.leater. ivtianyi Beach.Floricla. "Ti-ataniiento del Intnrto t\ignclo del Miocardio" Ulrealmeni Acute 1Y1yocardial Iniarction)-1.atin American ( 'onierence, Nov_ 19()14,:lount innl Nledical Cenier. Mimi Beach, Florida. Muerte Suhita" (Sadden Death Latin American Conference 1\lov 1001-Mount Sinai Medical Center. Vhatiti Bench. Florida. "tiso Clinic() del lii,co1lransesolagico" use Cd 1 1..atin American Conlerenee-Mt Sinai Med. Cir.-No\ . PRESENIA'I.ICYNS: Tratarnicrito del Inrarto ALluclr, clel Nil weardio en las primera horas" (Treatment of acute Nili in thc rritsi 2,4 hours). Latin American Conference, Nov. .1994-Mt. Sinai Medical Center. Beach. Florida. [C"..t YMENT: S. Francis Flospnal. Beach. Plrys'ician 1/9 - Sout1•13 Miami liosiiiird-M.ifirrii„'Florida-Critic.al Cart: Physician. Sinai fittspital. nii Beach. inoriciki-Cardiology .Attenclini4_ 7193-4/94. Private Practice Cardii)log\—Niliarni. Florida. .41921.-present. Chief of C:ardiology-Paicteur Clinic. 2/94-present. LONTMFITIMS: Critical Care l'atiw,iay h:r Acure Nif Medical Resident Search Committee. SOCITTLFS: • American (.'ollege of Physicians American College cif Florida iic. ot` Internal Medicine National Society of Medical Residents National Society of internal .iVledicine .Dade County Medical Association 1:Travetilm, reading. cycling. tennis. IriATIONS: Santana 0 Salirstcin S, Williams D. IYInchado H. A,LuNon AS. Noninvasive documentation of rupture of ihe inierventrieular iieptum due to subacute bacterial endocarditis. Video Journal of Echocardiography Vni 2:No Jan 1992. Agatston A.S. Santana 0: Doppler Echocarchography, CulTent Opinion 10 ki.achology. August 190. 4:IV. 15-17. Santana 0, Vi.vas P. Ramoii A. Sofirstein Atutsion A.S. Multiple myeloma involving the pericardium associated with cardiac tampon:ode and constrictive perictirditiN, Amer I'leart J 1993: Vol 126: 737-740, 4. Cluerra OR, Santana O. Satirstein S, Agatision AS. Diagnosis of localized cardiac ttimponarie Ini lOIflLcardiac suracrry: The role of trtaisesophagcal echocardicyratih Y. Video Journal of .Echocardiographyt Vol 2;145-14:8: Oct. I 992. Santana 0..Citterra CR„.Vivtis P, P,innos.A. Actitsion Multipicartycloma involvintt the pericardium associated with cardiac tamponade and constrictive pericarditis. Video Journal of Echocardloaraphy. Ter be published. 6. ',lily:liana 0. Vivasi P. Tratruniento del Infarto Agudo del Mioenrdlo (Treatment of Aeitte. Myocardial Inlarctionn Medico interamericano. Feb, I 7. Santana Cr, Vivas P. 'fratainiento ctcl I niarto Attack) del N4iocardio (Truatinent otAcme Myocardial Inairc-tionl. Medico inferamericano, Mar. 1993. 42-50, S. Stint:anti ,Fantliim-Sende F. V vus P. Muerte Stiiiii-ta (Sudden 17)eatit. Medico Interamoricano, May 1993. 9 Santana Q, Campo C., Vivits P. A2at5ton AS. Large Ventricular thrombus in an asynaptornatic man -A ease report. To he suhmiited. I (J. Santana 0, Franco i. Vivas P, Guerra OR, Agatston AS. Spindle cc!l sarcoma presentinil as rielit ventricular Outflow tract obstruction. Video Journal of Echocardiography. 1993 Vol 3; 67-70. 11. Guerra OR. Sinitana Si- Vivo PH. Viellola PA. Av.illsicin AS. Transcsophageal Echo- cardiography in pereutaneous mitral balloon valvuloplasty. Video Journal cif Echocar- diography, 199:3, Vol. :3. No 2.41_45. 12. Willeas Sainanti0.. Vuoto1, Cititerra0R Agatsum ,AS..Diagnosis of Intrimortic Debris by transesephauen! echocardiography in a patient with digital .ischemia. Video .lournat Echocardiography, April 1993, Vol 3. No 2,416-49.. Franco. M. Ceara R. Santana 0, 1.11VaS I". I rid i-CaC iCMCS pam marcapasos en adul Les Indi- cations .for pacemaketrs 0adults). Medico Imeramericano. June 1993. 59-66. Franco TY1, Ceara R. Santana (I), Vivas P. Indicaciones para c1linplaptc de Cardiodcti- briladoreitt Autontiatic,ns del Corazon tInclications intTir A.1(11)). Medico interamericano, )4ov. 1993, 15-1S. 15. Jaraki AR, Santana_a Fandino-Scindc Aflasicm As. ,A,symptornatic Si MIS o1 V !Sal Va aileUrrial compressing, the left main coronary artery. Videct Journal oi Echhearrhottlraphy-, 1993: Vol. 3: 71-72. 16. (icard R1Y1,. Santana 0: El L1SO cl inco del lco TransesofaQlcn (Clinical use 01 EF) Medico Interamericano. A Uri, 1 993: 17-74. 17. Gera RM Sal:MA[1a C): LaEcatdiografia Trrmsesofacica aransesophagea i Echo- cardiography). Cardinietaia 1.11torenni.itiormil. \joi 3. No ; jan_Apri I I cs),..t. 58451, i 8 Autstuu .A.S. Janowitz \AYR. (..ieara R.1\4. Ssintana O. Intnouralia coniptitarizala ultra- rapicia para vitializart lus arteriiit; corunLt.ruls.(Ultra-fast C. viiiiralize tht.: cot onaries (i.ardiolouitti Intercontinental \fol. 2. Mav-,Aitgusi 51)-59, I Y. A.gatston AS „hinciwitz \Vk.. (..icarali1Nitl. Sant:101LO. Vistializaeion de la.s eoronaritis p or me..110 del [matron (Visualization of the COMIlitrieS by tile I matron). Medien interturnericant), .iuly 1993. \fol. 7. 35-38. 70. Saar:itch:1 S. &ultimo 0. Agi.it5ton AS. Thyroymic:osis associaed t.y•i th a revrsibic Diialect Cardiornynpathy. Amer Heart 1. Sept 1(..)94. 616-617 2 i . Urena 9. Taveras 121 .1M. Santana O. Crespo C'omnary Artery Dissection. 'lc) he . Staff Physician. 22. 'haveras Slattina O. tirena 9. Crespo F. ivianejo modern() del pacientc con cattdlo,. i optrulTi pet trtrl3eu (Muaeel; lc; it ui 111t 11tVi1 gaci-t rt,rryiTit--&11-ci-ic Modiea Ititeraniericano. Ft.:1). 1994. 71-72. Sendc .11v1 F. Santina KM. Santana 0. \'o,ds Scnde FF. Dnienostico di rerenenil t:le las inquieardins de complejo ORS arnplio (Dilicrernial 11,)iagnosis or \Vide Complex Tachyeardinj). Medico lnterarnericano, Sepi. (:)93.33-37. Gearn.R., Saniftria (3: Revision de. Ie e.srudios de inortalidad en ;alio cardiac' co FIQC:::;1 vo. (Reviovr of-Monaltry-Studies.on Corigcsfri.ve Ilcarr Failure). -Medico inTeramericano. Apri,1 1.994, 2.2 1-223. 25. Geara H., Srintann 0: Revision de los estudio de inortalidad cn Falk) cardiac() congestivo. (Rzview c:ifivfortality in CI -IF). To be published-Cardiologia .fruereorninenral,94. Santana 0: uso de Betn-bloclueadores en pacientes con insuficiencia cardinca. (Use of beta -Hookers in Cont4esti ye Heart Failure). TO he published -Medico Interamericano, Nov. (99,4. 27. Sanuina 0. uso de Beta-bloqueadores en pm:if:ail:es on insuriciencia cardiaca. Bela- blockers in CHF). To be nublished-Cordiologuri Iniercontineaull. STATE OF FLORIDA DEPAATIVIENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE ATE 10/1512009 The IIAEPICAL DOCTOR named below t s net::all requirements of the laws and-tuies: f the state of Florida; Expiration n Date:: JANI ARY 31, 2012 LICENSE N0_tTRC 0- LICE SEE SIGNATURE - _ ABMS ' Board Certification Credentials Profile ,•• nilalidc;1 Santolla tABUSUifT.) - 27'108 Ailler1C3IF 00,11-Ci oPoiedicluiv intorniriMuiiici, Gooeral ht5' Nat Cor ;.„,:irciiovasccitar SIatus. tit led [4-1Q Direct Connect CURRJC EUM VITAE J1 CURRENT TITLE: Chairman and Residency Program Director Department orj diolugJ Department Sinai Medical Center Miami Beach, Fi 33140 (305) 674-2680 HOME ADDRESS: 2800 Regatta Ave Miami Beach, F i 33140 cell (305) 213-1 430 BIRTHDATE: CITIZENSHIP: January 28, 1963 United States SPECIALTY CERTIFICATION: Julie ; 199"r' iiie1CNI: Board Uirra 1t!igy L13Li CATION: IOi : Dates institution Degree Conierred,Titie'Status Clark .i, r - . • W - s_� BS in Biology 1981 — 1 I�}j •.,laiiti i.;IiiVc:CSlty, Y'rUrCc:SiC,I,;Y�_ 198J — 1989 Harvard Medical School, Boston, MA iv1.LI. 1989 — 1990 The Faulkner Hospital Internship Internal ivledicine 1990 - 1994 Yale New Haven Hospital Radiology Residency New Haven, CT Fellow r1n•rr rain mr 1_=�93-199 .TilePICirvHavel:Hosp11al rello\'�1I1CiiLJiN l Dates 7/94 — 1/98 7/96 — 1/98 7/97 — 1/98 Position Assistant Professor, Dept of Diagnostic Imaging Tale University School of Medicine Co -Director, Abdominal Imaging Fellowship Program Dept of Diagnostic Imaging, Yale University School of Medicine Associate Director, Radiology Residency Training Program Dept of Diagnostic Imaging, vale TTni1•'ersity School of Medicine 1/98 — 1/2007 ending Radiologist, gist, Hospital of St. Raphael 7/98 — 1/2005 Director, Radiology Residency Training Program Dept of Diagnostic Imaging, Hospital of Saint Raphael gin` Assistant tart Clinical Professor, Yale UniversitySchool of v edicine 7/98 — i!_� _ . _ - 7/00 - 1/2007 Section Chief Body Imaging Section Dept of Diagnostic Imaging, Hospital of Saint Raphael 2/2007- present Chairman, Department of Radiology Mount Sinai Medical Center, Miami Beach 5/2007-10/2008 Program Director, Radiology Residency Mount Sinai Medical Center 11/2009 present Program Director; Radiology Residency Mount Sinai Medical Center PROFESSIONAL AF1ILIATIONS; American College of Radiology (ACR) Society ofUroradiology (SUR) Society of Gastrointestinal Radiologists (SGR) Yale University -Center for Swallowing Disorders Radiology Society of North America (RSNA) Connecticut State Medical Society American Medical Association n.: ,T,_.f'. A[ilerIcan Board t_ii Radiology 2007 — pi'eselll HONORS; AND _:x?rv,-iRDS Cambridge hro's \\'ho JlrCuai vv , ',Nile's 4i::.v -nno 200 Top Radiologists in America 20n6 Hospital of St. Raphael 2003/2004 Teacher of the Year Radiology Residency Program Hospital of St. Raphael 1998/99 Teacher of the Year Radiology Residency Program Yale New Haven Hospital 1994/95 Teacher of the Year Clark University RESEARCH 1985 Summa Cum Laude 1985 Honors Biology 1985 David Potter Prize (Excellence in Biology) 1984 Jefferson Fellow (General Academic Achievement) 1984 Junior Phi Beta Kappa PUBLICATIONS (ORIGN_A7 . RESEARCH) Tyler Neitlich, M.D., Jeffrev D. Neitlich Iv1.D. The Imaging Evaluation of Cholelithiasis in the Obese patient- Ultrasound vs CT Cholecystography: Our experience with the Bariatric Surgery Population, J Obes Surg, Feb, 2009 Tyler M Stockmann M.D., Elriiet Valin Jeffrey• D Neitlich•M.D. CT cholecystography for the evaluation of gallstones in the pre -operative assessment of patients for Bariatric Surgery - a comparison with ultrasound. Society of Gastrointestinal Radiology, June 2006. Levine JA, Neitlich JD, Smith RC. The value of prone scanning to distinguish ureterovesical junction stories from -ureteral -stones -that -hare passed nto_thebladder:Leav e no stone_ unturned. AJR 1999; 172:977-981. Traubicci J. Neitlich JD, Smith RC. Comparison of Plain Films and Unenhanced Helical CT in Evaluating Phleboliths: Is there a Lucent Center? AJR 1999; 172:13-17. Neitlich JD Foster HE, Glickman MG, Smith RC. Detection of Urethral Diverticula Using a High Resolution Fast Spin Echo Technique: Comparison with Double Balloon Urethrography, Journal of Urology 1998; 159:408-410. Steinlauf AF, Traube iM, Neitlich JD, Cooney EL. Clostridium difficiie colitis: a possible cause of unexplained elevation of serum alkaline phosphatase levels in patients with AIDS. Clin Infect Dis. 1998 May;26(5):1248-9. Smith RC, Dalrymple NC, Neitlich JD. Noncontrast Helical CT in the Evaluation of Acute Flank Pain, Abdominal Imaging, 1998; 23:10-16. Neitlich JD, Topazian MD, Smith RC, Burrell M, Gupta AG, Rosenfield AT. Non -Contrast Helical CT for the Detection of Common Bile Duct Calculi: A comparison with ERCP, Radiology 1997; 203:753-757. Levine JA, Neitlich JD, Verga M, Dalrymple NC, Smith RC. Identification of Ureteral Calculi on Plain Radiographs in Patients with Flank Pain: Correlation with Helical CT. Radiology 1997; 204:27-31. PUBLICATIONS (CHAPTERS/REVIEW ARTICLES) Levine JA, Neitlich JD, Verga M, Dalrymple ND, Smith RC. Identification of Ureteral Calculi on Plain Radiographs in Patients with Flank Pain: Correlation with Helical CT Yearbook of Radiology 1998. Neitlich JD, Burrell MB, Drug induced disorders of the small intestine, Abdominal Imaging, 1997 Neitlich JD, Burrell MB, Drug Induced Disorders Of The Colon, Abdominal Imaging, 1997 Neitlich JD, Scoutt L, Transabdominal and Transoperative Ultrasound, Hepatobiliary and Pancreatic Surgery: Imaging Strategies and Surgical Decision Making, Wiley 1997 Neitlich ID, Smith RC, Rosenfield AT, Urologic Frontiers in Helical CT, Contemporary Urology, October, 1995. SCIENTIFIC _PR EN7TATIONS/ABS.i IZ_AC T S Tyler Neitlich, M.D., Jeffrey D. Neitlich, M.D., Comparison of 2D/3D and Virtual CT with WP for the detection of Uroepithelial lesions of the kidneys, ureters and bladder, SURIESGAR 2008 Tyler Neitlich M.D., Jeffrey D. Neitlich, M.D., Preoperative Detection of Gallstones in Bariatric Surgery Patients: CT or L ltrasound? Scientific Session, RSNA 2007 Steven Zell M.D., JetTrey D. Neitlich, M.D., Neoplasia or infection? The mutual mimickers in - the GU tract, Computer Presentation, RSNA 2007 Tyler M Stockma.nn M.D., Elmer Valin M.D., Jeffi-ey D. Neitlich M.D. CT cholecystography for the evaluation of gallstones in the pre -operative assessment of patients for Bariatric Surgery - a comparison with ultrasound. Society of Gastrointestinal Radiology, June 2006. Neitlich JD, Acute Flank Pain, Evaluation with Multidetector CT, ARRS Vancouver, May 2006 Truman S, Neitlich JD, Hodges L, Rosenfield AT, Smith RC. Accuracy of Determining the Size of Ureteral Stones using Unenhanced Helical CT. Annual Meeting of the American Roentgen Ray Society, New Orleans, LA, May, 1999. Levine J, Neitlich JD, Smith RC. The Value of Prone Scanning to Distinguish LTVJ Stones from Passed Stones: Leave No Stone Unturned. 84-th Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, December 1998. Levine JA, Neitlich JD, Smith RC. Distinguishing UVJ Stones from Bladder Stones: The Value of Prone Scanning With Unenhanced Helical CT. Annual Meeting of the Society of Uroradiology (Poster Presentation) Bermuda, June, 1998. Traubicci, J, Neitlich JD, Fields J, Smith RC. Unenhanced CT in the Evaluation of Acute Flank Pain in the Pediatric Patient. Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, April, 1998. Nolten A, Neitlich JD, Brown J, Filippi C, Smith RC. The Accuracy of Plain Radiography in the Diagnosis of Facial Trauma. Annual Meeting of the American Roentgen Ray Society, San Francisco, CA, April, 1998. Traubicci J, Neitlich JD, Smith RC. Comparison of Plain Films and Unenhanced Helical CT in Evalua.ting.Phleboliths: Is there a Lucent Center? 83-d Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, December, 1997. Levine JA, Neitlich JD, Verga M, Dalrymple NC, Smith RC. Identification of Ureteral Calculi On Plain Radiographs in Patients with Flank Pain: Correlation with Helical CT, 83-d Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, December 1997. —Neitlich JD, Rosenfield -Darling ML, Smith-Re-,-Comparison-of-Unenhanced-Helical CT Scanning and Pulsed Doppler Ultrasound in the Evaluation of Acute Renal Obstruction, 83-d Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, December 1997. Kaplan D, Neitlich JD, Verga J, Dalrymple D, Rosenfield AT, Smith RC. Hematuria Testing hi Patients With Acute Flank Pain and Suspected Ureterolithiasis—Why Bother? Annual Meeting of the Society of Uroradiology, Sante.Fe, New Mexico, June, 1997. Neitlich JD, Hodges L, Barish 1Y1, Dalrymple N, Smith RC, The Accuracy of Unenhanced Helical CT In Determining Renal Stone Size and Volume, Annual Meeting of the Society of Uro; adiology, Sante Fe, New Mexico, June, 1997 F Key KW, Hsia HC, Egglin TK, Neitlich JD, Belcher DJ, Rosenfield AT, Helical CT ,giography of the Abdominal Aorta: The Value of th 3-D Image for Branch Detection and S . nosis, SCVIR 1996, veitlich ID, Topazian M, Smith RC, Gupta AG, Burrell NI, Rosenfield AT, Non -Contrast Helical CT versus ERCP in the Evaluation of Choledocholithiasis, Society of Gastrointestinal Radiology, Annual Meeting, March 1996. Smith RC, Verga NI, Rosenfield AT, Neitlich JD, Glickman MG, Non -Contrast Helical CT in the Evaluation of Flank Pain: Diagnostic Criteria and Results, SUR, June 1994 Neitlich JD, Hitzig 13, The Evaluation of pH Regulation in the CNS Using NMR Spectroscopy Massachusetts General Hospital Warren Laboratory, ivIIT, 1984. Neitlich JD, Curtis J, Regulation ofCortico-steroid Production in the Adrenal Cortex, Clark University Press, June 1985 ONGOING RESEARCH Neitlich TM, Neitlich JD, CT Virtual Colonoscopy, a combined approach with flexible sigmoidoscopy, work in progress, IRB approved. Neitlich TM, Neitlich JD, CT Urogtaphy- a 3D and virtual approach to evaluating the ureters, work in progress, IRB approved. Nr:•i, Lich TM, Neitlich JD; Virtual Cystoscopy, comparison of CT and MRI techniques work in pr ress. Neitii :h TM, Neitlich JD, 3D Ureterography and Cystogaphy in the evaluation of Hematuria, a comparison with IVP and Endoscopy, Hospital of St. Raphael Department of Radiology, IRB approved Neitlich TM, Neitlich JD, The efficacy of CT angiography as a first line imaging technique for lower Gastrointestinal bleeding, IRB approved Neitlich TM, Neitlich JD -- CT Cholecystography As Part Of The Pre -Op Evaluation in Bariatric Surgery, IRB approved COMMITTEES Mount Sinai Medical Center, Academic Affairs Committee 2007 — present Mount Sinai Medical Center, Cancer Committee 2007 — present Mount Sinai Medical Center, Resident Selection Committee 2007 — present Hospital of St. Raphael Graduate Medical Education Committee 1998 — 2005 Hospital of St. Raphael, Diagnostic Imaging, Customer Satisfaction Committee 1998 — 2003 Yale Diagnostic Imaging Residency Selection Committee 1995 —1997 Yale Diagnostic Imaging Abdominal Imaging Fellowship Selection Committee 1995 —1997 Yale Emergency Department/Diagnostic Imaging Quality Improvement Team 1996 — 1997 Yale -New Haven Hospital Curriculum Committees: Laparoscopic Cholecystectomy Pancreatitis 1995 1996 AC#3 2 3 G 2 8 S STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE CONTROL NO DATE 12/11/2008 LICENSE NO. • The MEDICAL DOCTOR named below has met all reptiirernents of the laws and rules of the state of Florida. Expiration Date: JA UA RY 31,'2011. JEFFREY DAVID.NEITLICH MOUNT SINAI MEDICAL CENTER 4300 ALTON AVE MIAMI.BEACH, 33141 ME 98014 266702 Ana M.'Viamonte:Ros, STATE SURGEON1-.PENE-RAL-1 DISPLAY IF REQUIRED BY LAW Nal" IVL " A "1r 1, Mr tu 8it /4Y @ e2ica/R, .-1 iv @ meti-ca-.rt 2ow2,ez �_'i7.ay CJ.acie /4- @.5Vm t c Z9l.. �Q/�llGl7L OZ,l, ,llz�-/C€4"c iG M�cGeC?L• ,O/L/7.O t @ ".4n te:ccCe; Ue 9z 'ON ��"LGCLCl OQZl,.o/de � T72P/ZGl�.7Z Or eCiiC4e @VMOCGCt GOlz-: @WWW :Ca7b C oue�r�. -C _ta, eud o ' 1Z , .cr/izez! 619.{' „ o—oce z / ruizftet.4i a29:ez e i4�4 2m( n,e.t z9z- @ ici,"%il-.1 ie74f in G %e cri�z� 64ie;te.15.4 -c--e741eJ, afre nib Netttkci! (Pael-/.rrmiee ex/n/.acc.e/ziee ceeeft, e'..errtaeleur-Ai`etdy n .tina,c/ ize" a .�rte ce t ze9z. 4 antleez4z • ancigeeai%c ¢leo9z4-.. ze/ .�a,4 *4J-ecz!^^fcc�je ,e--rru�yaao-71 , ..;,coiezZe eez!z&ild.e ' eu i zi ; 6,Y%• metecezn- ,-a2ez!e�• 'teza �eomy �n this ninth btti1 of Anne, 1394 �% 2e#:.eema-7z4 'zai n,.10-,Ae'. ccic n,o/ �oaza! 1{ Z/ e, aQ �etL� ry9L�LGd i ce' ( P/ 1-eciaf y f Jiagttnotir a in1ngu Jenny Audain 17561 NE 5th Ave North Miami Beach, FL 33162 Cell (305)761-9014 Home (305) 493-4395 Email: jenjen0378 a.aol.coni OBJECTIVE Serves as the Supervisor for Mount Sinai Medical Center Occupational Health Department SUMMARY OF QUALIFICATIONS • Communicate with all levels of management and staff positively and effectively • Recommends positive changes, and assist management in identifying opportunities for improvement that builds morale • Develops and monitors quality and performance measurements to maintain optimal delivery of care in the areas of responsibility outcomes • Excels at handling multiple tasks in fast paced environment • Possesses comprehensive knowledge of public health issues • Seven years experience in hospital Inpatient, Outpatient, Emergency Department, Employee Health and Occupational Health settings EDUCATION Master in Public Health / Health Service Administration, Expected December 2011 Barry University, Miami Shores, FL Bachelor of Science in Health Service Administration, July 2005 Barry University, Miami Shores, FL Associates Degree in Accounting, May 2000 Miami- Dade College, Miami, FL WORK EXPERIENCE Occupational Health Supervisor, January 2007- Present Mount Sinai Medical Center, Miami Beach, FL • Provides supervision, guidance and direction to assigned staff • Reviews and revises current department policies contracts and procedures • Develops and monitors quality and performance measurements • Conducts internal auditing and monitoring of registration and billing • Helps improve the departments customer service satisfaction • Train employees for DOT drug and alcohol collection Patient Access Representative Team Leader, February 2006 - January 2007 Mount Sinai Medical Center, Miami Beach, FL _Patient_Access-Representative,_January_20.02-February 2006 Mount Sinai Medical Center, Miami Beach, FL Customer Service Representative, January 1999- December 2001 Precision Response Corporation, Miami, FL Accounts Payable, August 1997- January 1999 Service Merchandise, Hollywood, FL Certification: Certified Instructor for DOT specimen Professional Collectors and Breath Alcohol Technician This is to certify that Jenny Audain has successfully completed training as a Professional Collector Instructor and is Proficient in Specimen Collections Proficient in 49 CFR Part 40 Procedures This is to certify that has successfully completed training as a Professional Collector Instructor and is Proficient in Specimen Collections Proficient in 49 CFR Part 40 Procedures CURRICULUM VITAE Susan Roth, Ph.D. Progressive Hearing and Balance Center 4302 Alton Road Suite 650 Miami Beach, FL 33140 Doctor of Philosophy 9/87 - 6/95 Certificate 8/88 - 5/89 Master of Arts 9/85 - 6/87 Bachelor of Science 8/80 - 5/85 EDUCATION University of Cincinnati Cincinnati, Ohio Audiology and Gerontology Miami University, Oxford Scripps Foundation, Oxford Ohio Gerontology University of Cincinnati Cincinnati, Ohio Audiology Miami University, Oxford Oxford, Ohio Audiology and Speech Pathology AFFILIATIONS Audiologist, Progressive Hearing and Balance Center, 4302 Alton Road, Suite 650, Miami Beach, FL 33140 (July 2008 to present) Audiologist, Progressive Hearing and Balance Center, 1100 Kane Concourse, Bay Harbor Islands, FL 33140 (August 2003 to July 2008) Audiologist, Progressive Hearing and Balance Center, 4302 Alton Road, Third Floor, Room 11, Miami Beach, FL 33140 (August 2000 to August 2003) Audiologist, Hearing and Balance Center, Mount Sinai Medical Center, 4302 Alton Road, Third Floor, Room 11, Miami Beach, FL 33140 (November 1998 to August 2000) Audiologist, Hearing and Speech Center of Miami Beach, 960 Arthur Godfrey Road, Suite 402, Miami Beach, Florida 33140 (August 1995 to November 1998) Audiologist, Audiology and Speech Associates of Dayton, Inc., 15 Southmoor Circle, Dayton, Ohio 45429 (June 1989 to August 1995) Audiologist, Hearing, Speech and Language Service, Inc., 2651 Highland Ave., Cincinnati, Ohio 45219 (June 1987 to June 1989) LICENSES Florida Board of Speech Language Pathology and Audiology License # AY0000740 August 1995 Fellow of the American Academy of Audiology MEMBERSHIPS American Academy of Audiology RESEARCH ACTIVITIES Doctoral Dissertation - Auditory P300 Event -Related Potentials: Age Versus P300 Latency Function (1995) Masters Thesis - Hearing Aid Satisfaction: Age Versus PIPB Function (1987) CONTINUING EDUCATION Medical and Audiological Perspectives in CIC, FLASHA Fall Conference, Sarasota, FL, September 1995 Grand Rounds in CIC Fittings, FLASHA Fall Conference, Sarasota, FL, September 1995 CIC Hands-on Workshop, FLASHA Fall Conference, Sarasota, FL, September 1995 Third Party Reimbursement and CPT Coding, ASHA Convention, Orlando, FL, December 1995 The JCAHO: Demonstrating Competence, ASHA Convention, Orlando, FL, December 1995. TEOAE-Rased Universal Newborn Hearing Screening, ASHA Convention, Orlando, FL, December 1995 Non -linear Hearing Aid Strategies, ASHA Convention, Orlando, FL, December 1995 Vestibular Rehabilitation: Protocols and Programs, American Institute of Balance, St. Petersburg, FL, January 1996 Phonak Advanced Programmable Seminar, Chicago, IL, December 1996 Advanced ENG, American Institute of Balance, St. Petersburg, FL, January 1997 Phonak Advanced Applications, AAA Convention, Ft. Lauderdale, FL, April 1997 Oticon Digifocus Seminar, AAA Convention, Ft. Lauderdale, FL, April 1997 Monitoring for Ototoxicity, AAA Convention, Ft. Lauderdale, April 1997 Pharmacology of Drugs Encountered by the Audiologist, AAA Convention, Ft. Lauderdale, FL, April 1997 FL, vestibular Rehabilitation, AAA Convention, Ft. Lauderdale, FL, April 1997 Ninth Annual Interdisciplinary Seminar: Diagnostic and Rehabilitative Aspects of Dizziness and Balance Disorders, Meniere's Prosper Society, Denver CO, December 1997 Advanced Applications of Oticon Digifocus Seminar, Ft. Lauderdale, FL, December 1997 Unity - Total Practice Integration, Audiologic Systems Seminar, Miami, FL, January 1996 Widex Compass Seminar, Ft. Lauderdale, FL, January 1998 Oticon Digital Speech Processing Seminar for Digifoeus, Ft. Lauderdale, FL, June 1998 Widex - Navigating Through Compass Seminar, Ft. Lauderdale, FL, August 1998 Clinical Testing of Evoked Otoacoustic Emissions, Miami Beach, FL February 1999 Vestibular Rehabilitation: Audiologist as Gatekeeper, American Academy of Audiology Annual Convention, Miami Beach, FL April 1999 ENG Interpretation and Report Writing, American Academy of Audiology Annual Convention, Miami Beach, FL, April 1999 The Vestibular System: Vertigo, American Academy of Audiology Annual Convention, Miami Beach, FL, April 1999 Beyond ENG: Rotational Testing, Posturography and More, American Academy of Audiology Annual Convention, Miami Beach, FL April 1999 Introduction to Starkey Cetera Seminar, Starkey Headquarters, Miramar, FL, July 1999 Vestibular Assessment & Management, American Institute of Balance, Seminole, FL, May 2000 Siemens Signia Advanced Troubleshooting, Ft. Lauderdale, FL, October 2000 Phonak Advanced Digital Applications, Ft. Lauderdale, FL, February 2001 GN Resound Basic Canta Training Seminar, Tampa, FL, May 2001 American Hearing Aid Associates Managing Business Activities Workshop, Ft. Lauderdale, FL, November 2001 Widex Senses Diva Basics, Ft. Lauderdale, FL, January 2002 American Hearing Aid Associates Annual Convention, Miami Beach, FL, February 2002 ICS Medical Educational Services, Computer -based VNG/ENG System, Chicago, IL, March 2002 ICS Medical Educational Services, Evoked Potential System, Chicago, IL, March 2002 Ultimate Medicare Expo, Miami, FL, September 2002 American Hearing Aid Associates Annual Convention, Las Vegas, NV, February 2003 Siemens Advanced Digital Technology, Miami, FL, May 2003 Rexton Implementation and Verification of Advanced Digital Technology and Directional Microphone Hearing Instruments, Ft. Lauderdale, FL, June 2003 Siemens Acuris with e2e Wireless Technology, Ft. Lauderdale, FL, May 2004 Rexton Implementation and Verification of Advanced Digital Technology and Directional Microphone Hearing Instruments, Ft. Lauderdale, FL, June 2004 American Institute of Balance, Advanced Vestibular Topics, Seminole, FL, October 2004 Starkey Precision Audio Imaging, Mirimar, FL, January 2005 Siemens Acuris with e2e Wireless Technology, Ft. Lauderdale, FL, February 2005 Doctor's Assistance Corporation, Insurance Collections and Patient Reimbursement, Miami, FL, April 2005 Siemens, Digital Hearing Instrument Technology Workshop, Atlanta, GA, December 2005 American Institute of Balance, Vestibular Rehabilitation, Seminole, FL, August 2006 Siemens Amplification.and Verification Workshop, Delray Beach, FL, February 2007 Widex Realizing ISP's Full Potentials, Ft. Lauderdale, FL, May 2007 Starkey Advance with nFusion, Eden Prairie, MN, June 2007 Florida Academy of Audiology, Preventing Medical Errors, St. Petersburg, Ft,'September 2007 Nova Southeastern University, Dizziness Seminar, Ft. Lauderdale, FL, February 2008 Starkey The New Performance "Zon", Ft. Lauderdale, FL, May 2008 Siemens Digital Technology and Software Workshop, Ft. Lauderdale, FL, May 2008 Starkey BluWave Technology Summit, Eden Prairie, MN, July 2008 Siemens Amplification Technology Short Course, Ft. Lauderdale, FL, November 2008 Starkey Experience More Regional Technology Summit, Pt. Lauderdale, FL, October 2009 North Shore Medical Center, New Requirements for Performance Measures and Improvement, Miami, FL, October 2009 North Shore Medical Center, Prevention of Medical Errors, Miami, FL, October 2009 Siemens Digital Technology Short Course 2009, Boca Raton, FL, January 2010 Unitron Latitude and Fuse, Ft. Lauderdale, FL, January 2010 Siemens Amplification Solutions Short Course 2010, Boca Raton, FL, June 2010 Lyric Extended Wear Training Webinar, Miami, FL, August 2010 SeboTek HD Series Update on Software Webinar, Miami, FL, September 2010 Lyric Technology Update, Naples, FL, October 2010