Mark Rabinowitz application package pending photo g, CITY OF MIAMI BEACH
t'D m I�� BOARD AND COMMITTEE APPLICATION FORM
NAME: Rabinowitz Mark L
Last Name First Name Middle Initial
HOME ADDRESS: 1550 N.E.Quayside Terrace Miami FL 33138
Apt No. Home No./Street City State Zip Code
PHONE: 786-288-6674 305-538-8835 305-938-4044 mrabinowitz @mbchc.com
Home Work Fax Email Address
Business Name: Miami Beach Community Health Center Position: CEO and Chief Medical Officer
Address: 710 Alton Road Miami Beach FL 33139
Street City State Zip Code
Pursuant to City Code section 2-22(4)a and b:Members of agencies,boards,and committees shall be affiliated with the city;this
requirement shall be fulfilled in the following ways:a)an individual shall have been a resident of the city for a minimum of six
months;or b)an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city.
•Resident of Miami Beach for a minimum of six(6)months No
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes
•Are you a registered voter in Miami Beach: No
•(Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
I am the CEO and Medical Director of the only community health center on Miami Beach.The center is the safety net provider fo
•Are you presently a registered lobbyist with the City of Miami Beach? No
Please list your preferences in order of ranking[1]first choice[2]second choice,and[3]third choice. Please note that only three(3)
choices will be observed by the City Clerk's Office.(Regular Boards of City)
Choice 1: Health Advisory Committee
Choice 2:
Choice 3:
Note: If applying for Youth Advisory Board,please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: No Years of Service:
2. Present participation in Youth Center activities by your children No if yes,please list the names of your children,their
ages,and which programs. List below:
•Have you ever been convicted of a felony: No If yes,please explain in detail:
•Do you currently have a violation(s)of City of Miami Beach codes: No If yes,please explain in detail:
• Do you currently owe the City of Miami Beach any money: No If yes,please explain in detail:
C N
•Are you currently serving on any City Boards or Committees: Yes If yes,which board? off'
I serve on the Health Advisory Committee.
•What organizations in the City of Miami Beach do you currently hold membership in?
• List all properties owned or have an interest in,which are located within the City of Miami Beach: �_Y
ci T1
• I am now employed by the city of Miami Beach: No Which department?
The following information is voluntary and Is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Gender: Male
Race/Ethnic Categories
What is your race?Mark one or more races to indicate what you consider yourself to be. White
Other Description:
Are you Spanish/Hispanic/Latino?Mark the"No" box if not Spanish/Hispanic/Latino. No
Physically Challenged: No
NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members.
These laws include,but are not limited to,the following:
o Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459).
o Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami
Beach Code section 2-26).
o Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1).
(re:CMB Community Development Advisory Committee): prohibition,during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties(CFR 570.611).
Upon request,copies of these laws may be obtained from the City Clerk.
"I hereby attest to'the accuracy and truthfulness of the application and have received,read and will abide by Chapter 2,Article
VII—of the City Code"Standards of Conduct for City Officers,Employees and Agency Members."
I Mark Rabinowitz agreed to the following terms on 12/15/2014 12:33:57 PM
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. Date
MARK LAWRENCE RABINOWITZ,M.D.,F.A.C.O.G.
11645 Biscayne Boulevard,Suite 308
Miami,Florida 33181
Phone: 305-424-5535
Fax: 305-695-2189
MEDICAL EDUCATION
University of Miami School of Medicine,Miami,Florida 1975– 1979
M.D.Degree received June 1979
Medical.License: Florida(Issued July 1, 1980)ME0036822
WORK EXPERIENCE
Chief Executive Officer: Miami Beach Community Health Center 4/2014--Present
Interim Chief Executive Officer: Miami Beach Community unity Health Center 5/2012-4/2014
Chief Medical Officer: Miami.Beach Community Health Center 2003–Present
Adjunct Clinical.Faculty,Barry University 2011-2012
Clinical Instructor,Florida International University 2009-Present
Assistant Clinical Professor,Nova Southeastern University 2008-Present
Clinical Instructor: University of Miami School of Medicine 1983–2003
Private Medical Practice,Bay Harbor Islands,Florida 1983–2003
Vice Chairman: Department of OB/GYN.Miaini Heart Institute 1996– 1997
Member: Credentials Committee: Miami Heart Institute 1993– 1997
Volunteer Physician: Stanley C.Meyers Community Health Center,Miami Beach 1993– 1994.
Volunteer Physician: HRS Health Clinic,South Miami Branch 1992– 1993
Chairman: Credentials Committee,Miami Beach Community
Hospital/St.Francis Hospital,Miami Beach 1992– 1993
Co-Chairman: Department of Obstetrics and Gynecology,
St.Francis Hospital,Miami Beach 1991 – 1992
Co-Medical Director and Developer: Shared Birth Place/Miami Heart Institute 1987– 1996
Intern and Resident: Jackson Memorial Hospital/University of Miami Hospitals 1979– 1983
Research Technician: University of Miami,Biochemistry Department 1974- 1976
SOCIETY MEMBERSHIP
National Association of Community Health Centers 2003-Present
William A.Little Society 1983-Present
Florida Obstetrical and Gynecological Society 1983-Present
American College of Obstetrics and Gynecology(Certification 12/85, 12/99&12/00)
Dade County Medical Association (Public Service Committee 1987–1989).
Florida Medical Association 1983-Present
American Association of Gynecologic Laparoscopists 1987-2000
American Fertility Society 1987-2000
Miami Obstetrical and Gynecological Society 1987-Present
American Medical Association 1979-Present
PUBLICATIONS,
Marshall.JJ,Rabinowitz ML,Modification of the Properties of Trypsin by Covalent Attachment to
Dextran. Arch Biochem Biophys 1976.
Marshall JJ,Rabinowitz ML,Stabilization of Catalase by Covalent Attachment to Dextran. Arch
Biochem Biophys 1976.
Rabinowitz ML,Throat Swabbing in Epiglottitus(Letter). JAMA 1978.
Marshall JJ,Rabinowitz,ML,Preparation and.Characterization of a.Dextran-Trypsin Conjugate.
J Biol Chem 1981.
Rabinowitz ML,Basson I,Robinson MJ. Sexually Transmitted Cytomegalovirus Proctitis in a Woman:
A Case Report. Am J of Gastroenterology 1988.
Rabinowitz ML,Gilibert JE,Lenes.BE. Avoiding Blood Transfusion: A Report of Two Cases.
J.Rep Med 1990.
. STATE:OF FLORIN
DEPARTMENT CAF HEALTH
DIVISION OF MEDICAL QUALITY ASSURANCE $;
..DATE LICENSE NO CONTROL:NO. + �'
, •
w ° w
U �
1012912013' ME:368x22 • 431171
The'M"EDICAL DOCTOR - `�r�<�. a a �n r M " o Fn lli
named'below has met all-.requirerne of z°„”.r w `�. off:: w
the.laws and rules of the state a l ri ;g, ,� a . ( o
P� JANUARY ',"20.1 s' .,_ 4 ;:,i, o -� w
•Ex ration Pate: -:� ;,+ � R�� :a � �u;
MARK LAWRENCE RABINOWITZ. ,/_- , ' ; "p a F o
11645 BISCAYNE BOULEVARD. ,. ' >
f'� [i::�u- I. N 0 2 -- is
SUITE 208 'ur ,,t t o,:o: ° ar c..0 2 F:..
MIAMI,FL 33181 ;�'' ..:';., W 2 le
' ' Z' o o 0 . u�;
r
_'"t
,.
Cr"""..jir,;,:... !..,.::::: . ;,:-. ,:;.: , ::-.: ,,.:::;: . , .
I RIck'Scott ' John ft Armstrong, MD,-FA - : .
.;GOVERNOR •1 t STATE SURGEON,:GENE.RAL -
:
DISPLAY IF REQUIRED 3Y`LAW _' , i
EXPIRATION DATE: JANUARY 31,2016
Your license number is ME 36822, please use it in all Correspondence with your board/council.Each licensee is solely responsible for notifying the department in writing of
the licensee's current mailing address and practice location address. If you have not received your renewal notice 90 days prior to the expiration date shown on this license,
please call(850)488-0595.
Use this section to report name change.Name changes require legal documentation showing the name change.Please make sure that a photocopy of one of the following
accompanies this form:a marriage license,a divorce decree or a court order.
t I
Medical Quality Assurance offers you the convenience of several online services.These services give you the ability to renew your license,update your mailing and practice
location addresses and update your profile information.
1.Go to www.fikoalthsource.com
2.Click on Licensee/Provider
3.Click on Practitioner Login
4.Select your profession
5,sitter the account ID and password that was provided to you on your initial license and click on"Login".
6.If you do not know your account ID and password,click on^Get Login Help^or call our Customer Contact Center at(850)488-0595 for assistance.
MAIL TO:DEPARTMENT OF HEALTH IMPORTANT ANNOUNCEMENT
DIVISION OF MEDICAL QUALITY ASSURANCE
LICENSURE SUPPORT SERVICES UNIT THE DEPARTMENT OF HEALTH WILL NOW REVIEW
P.O.BOX 6320 YOUR CONTINUING EDUCATION RECORDS AT
TALLAHASSEE,FLORIDA 32314-6320 THE TIME OF LICENSE RENEWAL.
•
❑ NAME CHANGE(ATTACH LEGAL DOCUMENTATION) TO LEARN MORE,PLEASE VISIT WWW.CEatRENEWALCOM
FROM:
LAST FIRST MIDDLE
TO: _ _ _
LAST FIRST MIDDLE
DH 2103,5/98