Loading...
Loretta Ciraldo Application PackageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM CiraldoLoretta NAME: First Name Last Name Middle Initial Florida33139 HOME ADDRESS : 101 W DiLido DriveMiami Beach Home No./StreetState Apt No.City Zip Code drciraldo@gmail.com 30549695303057059000 PHONE : WorkEmail Address Home dermatologist Business Name: Loretta Ciraldo, M.D. Position: 101 W Dilido Dr Miami BeachFlorida33139 Address: State CityZip Code Street Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi   months; or b) an individual shall demonstrate ownership/interest Yes No Yes circle one): I am now a resident of: South Beach I am a resident and physician in Miami Beach for over 30 years a No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1:Miami Beach Commission For Women Choice 2: Choice 3: Note: If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: No Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: No Have you ever been convicted of a felony:If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach code 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: No Are you currently serving on any City Boards or Committees:If yes, which board? What organizations in the City of Miami Beach do you currently h List all properties owned or have an interest in, which are loca I am now employed by the city of Miami Beach:No Which department? The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:none Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself t none Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No No Physically Challenged: NOTEIf appointed, you will be required to follow certain laws which :   These laws include, but are not limited to, the following:    Prohibition from directly or indirectly lobbying city personnel o    Prohibition from contracting with the city (Miami-Dade County Co o    Prohibition from lobbying before board/committee you have served o Beach Code section 2-26).    Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I Loretta Ciraldo agreed to the following terms on 12/10/2015 8: Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date LORETTA M. CIRALDO, M.D., F.A.A.D. CURRICULUM VITAE Personal Information: Date of Birth:5-12-53 Place of Birth:New York, New York Married to:Robert J. Ciraldo, MD Children:Four Children, Ages 26to33 Business Information: Private Dermatology Practice, since 1982 rd 2627 NE 203Street, Suite # 111 Aventura, Florida33180 (305) 935-1660 CosMedical Technologies, Inc., since 1993 Chief Innovation Officer, Founder th 3961 SW 47Avenue Davie, Florida 33314 Education: Undergraduate:Hunter College, City University of New York BA, Honors Curriculum, June, 1974 Medical School:Downstate Medical College, State University of New York MD, June, 1978 Internship:St. Vincent's Hospital and Medical Center, New York Medical Internship, July, 1978 -June, 1979 Residency:Albert Einstein College of Medicine, New York Resident in Dermatology, July, 1979 -June, 1981 Chief Resident in Dermatology, July, 1981 -June, 1982 Teaching Appointments: 1.Voluntary Clinical Professor –Dermatology University of Miami, FL -Present Attending Dermatologist, Cosmetic Dermatology Clinic University of Miami, FL 1993 -Present 2.Assistant Professor of Dermatology New York Medical College -New York, New York, 1982 -1983 Board Certification: Diplomate, American Board of Dermatology, October, 1982 Diplomate, National Board of Examiners, June, 1979 LORETTA M. CIRALDO, M.D., F.A.A.D.Page 2 Positions Held: President, Dade CountyMedical Association, 2005-2006 President, Miami Society for Dermatology and Cutaneous Surgery -1993-1994/Vice President -1992-1993 Co-Chair, Leaders Society -Dermatology Foundation, 1996-1998 Board of Directors, Dade County Medical Association, 1996 to 2007. Professional Memberships: Board of Directors, Dade County Medical Association Fellow -American Academy of Dermatology Co-Chair, ('96 / '97), Leaders Society -Dermatology Foundation Miami Society for Dermatology and Cutaneous Surgery (Past President/Vice President) –See above Positions Held Fellow, Florida Society of Dermatologic Surgeons Florida Society of Dermatology Women's Dermatology Society Publications: Les Nouvelles Esthetiques, Monthly Column, 1998 to 2001 Network/Journal of the Association of Plastic Surgery Assistants, Quarterly Column, 1996 to 2001 Presentations: Optimizing Cosmetic Outcomes: Society of Dermatologic Skincare Specialists Annual Meeting, March 2010 “Evaluating Skin Care Products and the Ingredients” – Association of Plastic Surgery Assistants Meeting, October, 1998 “The Long Term Effects of Peels, Resurfacing, Use of AHA’s, Retinoids and Ascorbic Acid” –Association of Plastic Surgery Assistants Meeting, October, 1999 “Developing Comprehensive Skin Care Clinics” –American Academy of Plastic Surgeons Meeting, November, 2001 “Skin Care in 2001” –Association of Plastic Surgery Assistants Meeting, November, 2001 Seminar “Special Problems in Asian Skin”, Beijing, China May 2002 “Scientific Insights Into Skin Care”-Society of Dermatology Skincare Specialists, February 2004 “Acne Treatment, South Beach Style” –Presenter, European Dermatology Society, Nov. 2004 “Recognizing Contraindications To Chemical Exfolaition Treatments” –Society of Dermatology Skincare Specialists, February 2005 LORETTA M. CIRALDO, M.D., F.A.A.D.PAGE 3 Awards: Awarded -Physician Communicator of the Year –2000 Florida Medical Association. Honorable Mention -Physician Communicator of the Year– 1999 Florida Medical Association. Finalist –Florida Medical Business –Best Physician Entrepreneur –May 2005 Licenses: Florida State Medical License No. ME 0042094 Updated December 13,2010