Mark Rabinowitz Application PackageMIAMI BEACH
Rabinowitz
Last Name
1550 NE Quayside Terrace
Home Address
7862886674 3055388835
Cellular Telephone Work Telephone
Miami Beach Community Health Center
Business Name
71 0 Alton Road
Business Address
Mark
First Name
Miami
City
7862886674
Home Telephone
Physician
Occupation
Miami Beach
City
BOARD AND COMMITTEE APPLICATION
L
Middle Initial
Florida 33138
State Zip Code
mrabinowitz@mbchc.com
Email address
Florida 33139
State Zip Code
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 Office of the City Clerk.
Affordable Housing Advisory Health Advisory Committee Normandy Shores Local Government
Committee Neighborhood Improvement District
X Advisory Council
Animal Welfare Committee Health Facilities Authority Board Parks and Recreational Facilities
X Board
Art in Public Places Committee Hispanic Affairs Committee Personnel Board
Audit Committee Historic Preservation Board * Planning Board
Black Affairs Advisory Committee Housinq Authority Police/Citizens Relations Committee
Board of Adjustment Human Rights Committee Production Industry Council
Budget Advisory Committee LGBTQ Advisory Committee Program for Public Information
Committee
Committee for Quality Education in Marine & Waterfront Protection Senior Affairs Committee
Miami Beach Authority
Committee on the Homeless Mayor's 41st Street Committee Sustainability Committee
Convention Center Advisory Board Mayor's General Obligation Bond Transportation , Parking , and Bicycle-
Oversight Committee Pedestrian Facilities Committee
Cultural Arts Council Mayor's Panel on Ocean Drive Visitor and Convention Authority
Desiqn Review Board Miami Beach Commission for Women Youth Commission
Disability Access Committee Next Generation Council
1. Health Advisory Committee
2 . Health Facilities Authority Board
3 .
Professional License
Physician ME 36822
Type of Professional License
Florida
License Number
07/01/1980 01/31/2022
State of Issuance License Issuance Date License Expiration Date
Note: If you are seeking appointment to a professional seat (e .g . attorney , architect , etc.), you must attach a copy of your
current! effective corres ondin rofessional license .
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F:\C LER \$ALL\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER \BOARD A ND COMMITTEE APPLICATION .docx
Updated: June 2020
AFFILIATION WITH THE CITY OF MIAMI BEACH
Pursuant to City Code section 2-22(4) a, b, and c: Members of Agencies , Boards , and Committees shall be affiliated
with the City . This requirement shall be fulfilled in the following ways :
a. Resident of the City for a minimum of six months : Yes 0 or QgNo
• I am a resident of: South Beach 0 Middle Beach 0 North Beach 0
Or
b. Demonstrates an ownershieJ!!terest (for a minimum of six months) in a business established in the City (for a minimum
of six months): Yes 0 or l.l..INo
"Ownership Interest" shall mean the ownership of ten percent (10%) or more (including the ownership of 10% or more
of the outstanding capital stock) in a business.
"Business " shall mean any sole proprietorship, sponsorship, corporation, limited liability company, or other entity or
business association.
Or
c . Full-time employee of such a business (for a minimum of six months); and I am based in an office or other location of
the business ttiat is physically located in Miami Beach (for a minimum of six months): Yes [2S] or DNo
Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by
a 417th vote of the Mayor and City Commission .
NOTE: Members of Agencies, Boards, and Committees shall be required to demonstrate compliance with the City affiliation
requirements of sections 2-22 (4) a and b of the Miami Beach City Code by executing an affidavit, stipulating that they
have met either (or both} of said affiliation requirements. The original affidavit shall be filed with the Office of the City Clerk
prior to being sworn in as a member.
• I am applying for an appointment because I have special abilities , knowledge, and experience . Please list below:
I am the CEO and CMO of Miami Beach Community Health Center. I am not certain of the veracity of
the statement, but a City of Miami Beach staffer told me that the HAC Bylaws requires that one board
seat be committed to the Miami Beach Community Health Center CEO. I was also told that as the
Chair of the HAC, I am required to sit on the HFA Board .
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F:ICLERI$ALLIBOARD AND COMMITTIES DATABASEICHECKLIST MASTER \BOARD AND COMMITTEE APPLICATION .docx
Updated: June 2020
• Are you .a registered active lobbyist with the City of Miami Beach? Yes 0 or No (KI
• Have you ever been convicted of a felony? Yes 0 or No [XJ If yes , please explain in detail :
• Do you currently have a violation(s) of City of Miami Beach Code? Yes 0 or No lXl If yes , please explain in detail :
• Do you currently owe the City of Miami Beach money? Yes 0 or No !Xl If yes , please explain in detail :
• Are you currently serving on any City Board or Committee? Yes IZJ or No 0 If yes , which Board/Committee?
Health Advisory Committee and and Health Facilities Authority Board
• In what organization(s) in the City of Miami Beach do you currently hold membership?
None
Name Position
Name Position
• List the address of all properties owned or in which you have an interest within the City of Miami Beach :
None
• Are you now employed by the City of Miami Beach? Yes 0 or No IXJ If so , which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent 0, spouse 0, child 0 brother D or sister 0
who is employed by the City of Miami Beach? Yes Oor No lKl
If "Yes," identify person(s) and department(s): --------------------------
* Note: If applying for the At-Large position of the Historic Preservation Board, please answer the below questions :
• Have you ever resided in one of the City's Historic Districts for at least one year? Yes D or NoD
If you answered "Yes ," please indicate :
From :
Address Dates
From :
Address Dates
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F:\C LER \$ALLIBOARD AND COMMITTIES DATABASE \CHECKLIST MASTER \BOARD AND COMMITTEE APPLICATION .docx
Updated: June 2020
To
To
NOTE : IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY
BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:
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 the Board/Committee you have served on for period of one year after leaving office .
(Miami Beach City Code Section 2-26)
o Requirement to disclose certain financial interests and gifts. (Miami-Dade County Code section 2-11 .1)
o Sunshine Law -Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding
open government can be found in Chapter 286 of the Florida Statutes . These statutes establish a basic right of access to
most meetings of Boards, Commissions , and other governing bodies of state and local governmental agencies or
authorities.
o Voting conflict-Form 8B is for use by any person serving at the county, city, or other local level of government on an
appointed or elected Board, Council, Commission , Authority , or Committee . It applies equally to members of advisory and
non-advisory bodies who are presented with a voting conflict of interest under Section 112 .3143 , Florida Statutes .
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED,
READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS
OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE
COUNTY AND'fiR s;rATE LAWS A ~ STATUTES ACCORDINGLY." ~ jt_P.J(ltA.-{)l..U l 11/17/2020 Mark Rabinowitz
Applicant's Signature Date Name of Applicant (PLEASE PRINT)
Board and Committee Application Checklist: Please ensure you have provided all information before applying or
reapplying to any Board and Committee
Qf I have answered all questions fully.
Qf I have attached additional sheets, if necessary , to provide required information .
Qf I have attached a current resume , photograph, and a copy of any applicable professional license.
Qf I have completed and attached the Board & Committee Financial Acknowledgement Statement.
Qf I have completed and attached the Diversity Statistics Report .
Qf Submit complete application package .
Via Email : BC@miamibeachfl .gov
Via U.S . Mail or in Person :
City of Miami Beach
Office of the City Clerk I Board and Committee Section
1700 Convention Center Drive , 1st Floor
Miami Beach, FL 33139
If you have any questions, please contact the Office of the City Clerk via email : BC@miamibeachfl.gov or telephone :
305 .673.7411 .
Note: Florida Statutes §119.071: The role of the Office of the City Clerk is to receive and maintain forms filed as public
records. If your home address , telephone numbers, and/or photograph are exempt from disclosure and you do not wish
your home address, telephone numbers , and/or photograph to be made public, please : 1) Use your office or other address
for your mailing address; 2) Use your office or other telephone number for your contact number; and 3) Do not attach a
photograph.
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F:\CLERI$ALLIBOARD AND COMMITTIES DATABASE \CHECKLIST MASTERIBOARD AND COMMITTEE APPLICATION .docx
Updated : June 2020
MIAMI BEACH
City of Miami Beach
1700 Convention Cente r Drive
M iam i Beach , Flor ida 33139
www.miamibeachfl .gov
O FF ICE OF THE CITY CLERK
Em ail : BC@miamibeachfl.gov
Telephone : 305 .673.7 411
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Section 2-11.1 (i) (2)
Rabinowitz Mark L
Last Name First Name Middle Initial
1 understand that no later than July 1. of each year all members of Boards and Committees of the City of Miami
Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial
Disclosure Requirements.
One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July 1, of each year:
1. A "Source of Income Statement ;" or
2. A "Statement of Financial Interests (Form 1)1;" or
3. A Copy of your latest Federal Income Tax Return.
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $ 0, 60 days in jail, or both . ·
{'/'wJ' h ~'4___;_1~+--/UJ ____ _
Date
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. §112 .3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
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F:ICLERI$ALLIBOARD AND COMMITTIES DATABASEIC HECKLIST MASTER\BOARD AND COMMITTEE APPLICATION .docx
Updated: June 2020
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
M iami Beach, Florida 331 39
www .miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email : BC@miamibeachfl.gov
Te lephone: 305 .673.7411
Rabinowitz
Last Name
DIVERSITY STATISTICS REPORT
Mark ' L
First Name Middle Initial
The following information is voluntary and has no bearing on your consideration for appointment. It is being
asked to comply with City diversity reporting requirements.
Gender:
10 Male
0Female
Oother
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
0 African American/Black
0 Asian or Pacific Islander
~ Caucasian/White
0 Native American/American Indian
0 Other-Print Race: -------------------------0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
DYes
lKl No
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
DYes
UNo
0 I prefer not to answer this question.
Page 6 of6
F:IC LERI$ALLIBOARD AND COMMITTIES DATABASEICHECKLIST MASTER\BOARD AND COMMITTEE APPLICATION .docx
Upda ted : June 2020
MARK LAWRENCE RABINOWITZ, M. D., F. A. C. G., A. B. 0. G.
11 645 BISCAYNE BOULEVARD, MIAMI, FLORIDA 33181
305 /538-8835
MEDICAL EDUCATION
1975-1979 University of Miami Miller School of Medicine
M. D. Degree received 6/1979
Florida Medical License issued 7/1/1980
EXPERIENCE
1993-Present Miami Beach Community Health Center, Inc., Miami Beach , Florida
Chief Executive Officer: 1/30/2014-Present
Interim Chief Executive Officer: 5/9/2012-1/29/2014
Chief Medical Officer: 3/24/2004-Present
Co-Medical Director & Director Obstetrics & Gynecology Services: 6/10/2003-3/23/04
Volunteer Physician: 1/1/1993-12/31/1994*
1983-2003 Gilibert & Rabinowitz, M . D., P. A., Bay Harbor Islands, Florida : Obstetrics & Gynecology, Private Practice
1979-1983 University of Miami Miller School of Medicine & Jackson Health System: Intern & Resident
1974-1975 University of Miami Biochemistry Department, Research Technician
SOC I ETY MEMBERSHIP
National Association of Community Health Centers
Florida Association of Community Health Centers
North American Association for the Study of Obesity
American Society of Bariatric Physicians
Miami Obstetrical & Gynecological Society
American Association of Gynecologic Laparoscopists
American Fertility Society
American College of Obstetricians & Gynecologists, Fellow
2003-Present
2003-Present
1996-1997
1995-1997
1987-Present
1987 -2000
1987-2000
1986-Present
1985-Present
1983-Present
1983-2000
1883-Present
1983-Present
1979-Present
American Board of Obstetrics & Gynecology, Lifetime Diplomat (Recertified: 2000, 2001 , 2008)
William A. Little Society
Florida Obstetrical & Gynecological Society *
Dade County Medical Association
Florida Medical Association
American Medical Association
AWARDS, HONORS & APPOINTED POSTIONS
2016
2016
Florida Association of Community Health Centers , Inc.:
Wendell N. Rollason Outstanding Leadership Award
Jessie Trice Hero Award
Broward Community & Family Health Centers, Inc.: Appreciation Award
City of Miami Beach : Health Facility Board Member
City of Miami Beach: Health Advisory Committee (Chair 2015-Present)
Health Choice Network, Inc.: Board of Directors Member
2016
2018-Present
2014-Present
2008-Present
2008-2018
2008-2018
2006-Present
Prestige Provider Service Network: Credentials Committee & Quality Improvement Committee, Member
Prestige Health Choice: Quality Improvement Committee, Member
United Health Care : Provider Advisory Committee
*Due to closure of some entities, the length of time elapsed , and the inability to loca t e records , dates are approximate .
MARK LAWRENCE RABINOWITZ, M. D., F. A. C. G., A. B. 0. G. Pagell2
2005
2004-2018
1994-2000
1992-1997
1992-1993
1987-1996
1987-1989
1983-Present
PUBLICATIONS
Miami Beach Community Health Center, Inc.: Mark Rabinowitz Financial Hero Award
Health Choice Network, Inc.: Clinical Committee, Chair*
Board of Directors, Miami Beach Community Health Center, Inc.
St . Francis Hospital/Miami Beach Community Hospital
Credentials Committee, Member: 1993-1997*
Credentials Committee, Chair: 1992-1993*
Department of Obstetrics & Gynecology, Co-Chairman: 1991-1993*
Florida Department of Health, Volunteer
Miami Heart Institute
Shared Birth Place, Co-Medical Director & Developer : 1987-1996
Department of Obstetrics & Gynecology, Vice Chairman : 1996-1997
Dade County Medical Association, Public Service Committee
Voluntary Faculty/Clinical Instructor
University of Miami Miller School of Medicine, Clinical Instructor: 1983-2012*
Florida International University, Voluntary Faculty: 2008-Present*
Barry University, Voluntary Faculty: 2010-Present*
Nova University, Voluntary Faculty: 2008-Present
Marshall JJ, Rabinowitz, ML. Modification of the Properties ofTrypsin by Covalent Attachment to Dextran. Arch Biochem
Biophys 1976.
Marshall JJ, Rabinowitz, ML. Stabilization of Catalese 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 Bioi Chem 1981.
Rabinowitz, ML, Basson I, Robinson , MJ. Sexually Transmitted Cytomegalovirus Proctitis in a Woman: A Case Report . Am
J of Gasterenterology 1988.
Rabinowitz, ML, Gilibert, JE, Lenes, BE . Avoiding Blood Transfusion: A Report ofTwo Cases . J Rep Med 1990
*Due to closure of some entities , the length oftime elapsed, and the inability to locate records , dates are approximate.
MARK LAWRENCE RABINOWITZ, M. D., F. A. C. G., A. B. 0. G. Page212
AC# 5 5 STATE OF FLORIDA
DEPARTMENT OF HEALTH
DIVISION OF MEDICAL QUALITY ASSURANCE
DATE LICENSE NO. CONTROL NO.
12/07/2019 ME 36822 685096
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NAMED BELOW HAS MET ALL REQUIREMENTS OF
THE LAWS AND RULES OF THE STATE OF FLORIDA.
Expiration Date: JANUARY 31,2022
MARK LAWRENCE RABINOWITZ
11645 BISCAYNE BOULEVARD
SUITE207
MIAMI, FL • 33181
Ron DeSantis
GOVERNOR
DISPLAY IF REQUIRED BY LAW
EXPIRATION DATE: JANUARY 31,2022
Scott A Rivtcees MD
State Surgeon Genera.
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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 visit www .FLHealthSource.gov and click "Renew A License" to renew online.
The Medical Quality Assurance Online Services Portal gives you the ability to manage your license to perform address updates , name changes,
request duplicate licenses and much more.
It's simple. Log onto your MQA Online Services account today at http://flhealthsource .gov/. Select the "Account Login" button to access your
account. For changes to your name, address or to request duplicate licenses, choose your selection from the dropdown list under "Manage My
License". Your profession will open for renewal 90 days prior to your expiration date . When the renewal cycle opens for your profession, the
"Renew My License" header will automatically display on your license Dashboard .
ARE YOU RENEWAL READY?
The Department of Health will now review
your continuing education records at the
time of license renewal.
To learn more . please visit
"~o.hea · Source .go-..AYRR
IMPORTANT ANNOUNCEMENTS
GROUNDS FOR DISCIPLINE
You should be familiar with the Grounds for
Discipline found in Section 456.072(1),
Florida Statutes, and in the practice act for
the profession in which you are licensed.
1:1
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