Carol Antequera Application PackageAntequera Carol NAME:
Last Name First Name Middle Initial
3909 Garden Ave, Apt 2 MIami BeachHOME ADDRESS:
Apt No.Home No./Street City
FL 33140
State Zip Code
3053107416PHONE:
Home Work
Carol1282@aol.com
Email Address
Street City State Zip Code
Address:
Position:Business Name:Physician Assistant
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.
YesƔ5HVLGHQWRI0LDPL%HDFKIRUDPLQLPXPRIVL[ PRQWKV
Ɣ'HPRQVWUDWHDQRZQHUVKLSLQWHUHVWLQDEXVLQHVVLQ0LDPL%HDFKIRUDPLQLPXPRIVL[ PRQWKV
Ɣ$UH\RXDUHJLVWHUHGYRWHULQ0LDPL%HDFK
Ɣ 3OHDVHcircle one): I am now a resident of:
Ɣ,DPDSSO\LQJIRUDQDSSRLQWPHQWEHFDXVH,KDYHVSHFLDODELOLWLHVNQRZOHGJHDQGH[SHULHQFH3OHDVHOLVWEHORZ
Ɣ$UH\RXSUHVHQWO\DUHJLVWHUHGOREE\LVWZLWKWKH&LW\RI0LDPL%HDFK"
Yes
Yes
Middle Beach
No
see cover letter and Curiculum Vitae attached
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:
Choice 2:
Choice 3:
Next Generation Council
Miami Beach Commission For Women
No2. Present participation in Youth Center activities by your children
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:
ages, and which programs. List below:
if yes, please list the names of your children, their
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
* Board members are required to file Form 1 – "Statement of Financial Interest" with the State.
If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review
Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish the
following information:
Type of Professional License_______________________________ License Number
______________________________
License Issuance Date ___________________________________ License Expiration Date
_______________________
NoƔHave you ever been convicted of a felony:If yes, please explain in detail:
ƔDo you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail:
ƔDo you currently owe the City of Miami Beach any money:No If yes, please explain in detail:
ƔAre you currently serving on any City Boards or Committees:No If yes, which board?
ƔWhat organizations in the City of Miami Beach do you currently hold membership in?
ƔList all properties owned or have an interest in, which are located within the City of Miami Beach:
ƔI 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.
FemaleGender:
Physically Challenged:No
Other
Race/Ethnic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be.
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.Yes
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 Carol Antequera agreed to the following terms on 3/11/2019 10:23:30 PM
Received in the City Clerk's Office by:
Name of Deputy Clerk
Control No.
Date
CAROL M. ANTEQUERA PA-C
3909 Garden Avenue Apt. 2 Miami Beach, FL. 33140 Ph. (305) 310-7416.
E-mail Carol1282@aol.com
March 11, 2019
Miami Beach Chamber of Commerce:
Miami Beach has been my home almost all of my life. As many others, I have traveled and
lived in other cities, but my heart has always been here. For this reason, I came home in
2010 and have been a resident ever since. Now raising a family in our community, for me
this is the most important time to get involved.
As a mother, and health care provider I’m finding there are arising issues within our
community that need to be brought to the forefront. This is the perfect opportunity to better
our city and community in preparation for the future generations to come. Together, the
next generation council can provide insight and develop new problem-solving strategies. As
millennials we will bring a new perspective to our cities leaders and collaborate on a
multitude of problems the city faces on a daily basis. If elected to this council, I will always
ensure that our decisions will be made in the best interest of the community.
Sincerely,
Carol M. Antequera MMS, PA-C
CAROL M. ANTEQUERA PA-C
3909 Garden Avenue Apt. 2 Miami Beach, FL. 33140 Ph. (305) 310-7416.
E-mail Carol1282@aol.com
OBJECTIVE: To serve and be a voice for our beautiful community, Miami Beach.
EXPERIENCE: March 2012 - Present Miami, FL
Physician Assistant- Clinical Gastroenterology and Motility disorders
n Disease diagnostics, assessment, and patient care management of digestive diseases
n Motility- disease diagnostics, patient care and management, parenteral nutrition management
n Motility study interpretations and gastric pacemaker interrogation
n In patient consultations at Sylvester Comprehensive Cancer Center
n Hospital Affiliations: Sylvester Comprehensive Cancer Center, University of Miami Hospital
April 2011 - February 2012 Plantation, FL
Physician Assistant- Gastroenterology (Digestive care)
n Clinical Gastroenterology and Hepatology
n Disease diagnostics, assessment, and patient care management of digestive and hepatic diseases
n Hepatitis management, care, and education
n Hospital Affiliations: Westside Regional Medical Center, Memorial Miramar Hospital.
October 2010 - April 2011 Miami, FL
Physician Assistant- Family and Internal Medicine (Dr. Juvenal Martinez MD)
n Diagnosis
n Physical Examinations
n Counseling
n Formulating Plan of care
n Interpret/order Lab data
n Women’s health
n Preventive Care
EDUCATION: Nova Southeastern University Davie, FL
n June 2008 - August 2010
n Masters in Medical Sciences Physician Assistant Program
n Intense didactic and clinical courses
n Professional development and problem solving
n Clinical Rotations in many specialties
University of Central Florida Orlando, FL
n June 2001- June 2005
n Bachelor of Science in Cardiopulmonary Sciences
n Course emphasis in Pharmacology, Life support systems
n Cardiac surgical procedures and Diagnostics
SKILLS: Fluent in Spanish, honest, energetic, hardworking, team player.
Computer skills: Epic, Uchart, Cerner, Witt Biomedical, EMR electronic charting, Medical
Manager, Excel, PowerPoint, Word, Java, Microsoft and Macintosh proficient.
Certifications: PA-C, BLS, ACLS, Medical errors, AIDS/HIV, HIPAA
Activity/ Honors: President’s Honor roll, Class of 2010 Secretary
CAROL M. ANTEQUERA PA-C
3909 Garden Avenue Apt. 2 Miami Beach, FL. 33140 Ph. (305) 310-7416.
E-mail Carol1282@aol.com
Publications:
§ Published abstract: Botoman VA, Moshiree B. Elcock L. Antequera C. Vickers D. The utility of
wireless motility capsule testing in a community GI Practice. Am J Gastro 2014 Vol 109 (2),
S533(1803).
§ AGA DDW poster submission 2018: Su Bin Kim, Brian Frank, Fernando Calmet, Carol
Antequera, Baharak Moshiree. Bethanechol Improves Esophageal Symptoms in Patients with
Esophageal Hypomotility.
Teaching:
§ Florida Keys Health Fair with University of Miami Medical Students February 2013
§ Physician Assistant Mentor for Pre- physician Assistant students 2013-present
Meeting attendance:
§ 12th Post graduate course: Gastrointestinal Motility and Neurogastroenterology in clinical practice
August 2017
§ GI and Liver Association of the Americas (GALA) Conference Series, May 2017
§ GI and Liver Association of the Americas (GALA) Conference Series, May 2015
§ Sharpening you GI tool Kit by The Florida Gastroenterological Society, September 2015
§ GI and Liver Association of the Americas (GALA) Conference Series February 2014
§ Medical Grand rounds Dr. Baharak Moshiree “Approach to a patient with chronic nausea”
August 2014
§ Clinical Congress of Gastroenterology and Hepatology American Gastroenterology Association
(AGA), January 2014
§ 7th Post graduate course: Gastrointestinal Motility and Neurogastroenterology in clinical practice
July 2012
§ Crohn’s and Colitis Foundations Clinical and Research conference (CCFA) Advances in
inflammatory bowel diseases, December 2012
§ 9th Post graduate course: Gastrointestinal Motility and Neurogastroenterology in clinical practice
July 2012
Certificates:
§ GIVEN IMAGING Course completion training in use of EMZ May 2012
§ Review of Breath testing in IBS November 2012
§ Home nutrition support certificate of completion course May 2013
§ GIVEN IMAGING GERD management course the use of Bravo, pH monitoring, high resolution
esophageal manometry and pHz February 2013
§ Nuance/JATA CDI: Physician Specialty Essentials- Gastroenterology September 2015
Professional Organizations and honorary membership:
§ Florida Association of Physician Assistants (FAPA) 2008-present
§ American Association of Physician Assistants (AAPA)2008-present
§ American Neurogastroenterology and Motility Society 2012-present
§ GI Health Foundation member 2012-present
§ America Gastroenterology Association (AGA) 2013- present
§ Florida Gastroenterology Society Member (FGS) 2013-present
§ Women in GI 201