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Daniel Nobel Application PackageNobel Daniel W Last Name First Name Middle Initial 811 South Shore Dr. Miami Beach Home Address City FL 33141 State Zip Code 305469029 HomeWork dnobel@med.miami.edu Email Address 3054690259 Cellular Miami Business Address 1475 Northwest 12 Avenue Suite 2080a City State 33136 Zip Code University of Miami Occupation:Business Name: University of Miami 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: Health Advisory Committee Ad Hoc Host Committee for the March 2022 Aspen Ideas Climate Conference Ad Hoc North Beach CRA Advisory Committee BOARD AND COMMITTEE APPLICATION FORM 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 No Address in City Historic District submitted. Professional License License Number Issuance Date Expire Date PS45039 9/2/2021 9/30/2023 Note:If you are seeking appointment to a professional seat (e.g. attorney, architect, etc.), you must attach a copy of your currently effective corresponding professional license. 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: YesResident of the City for a minimum of six (6) months: Demonstrate an ownership interest in a business established in the City for a minimum of six (6) months:No AFFILIATION WITH THE CITY OF MIAMI BEACH a. ●I am resident of:North Beach Or b. "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. 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 that is physically located in Miami Beach (for a minimum of six months):No Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by a 4/7th 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 section 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 filled with the Office of the City Clerk prior to being sworn in as a member. Or 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 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: ●Are you currently serving on any City Boards or Committees:Yes If yes, which board? Health Advisory Committee ●Are you presently a registered lobbyist with the City of Miami Beach?No ●I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have worked in a community setting providing health screenings, immunizations, and medication counseling to residents of Miami Beach. I have also had the experience in working in a hospital setting in an inpatient and outpatient environment. I have been involved with the Health Advisory Committee 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 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). 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 equality to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143. Florida Statutes. ● In what organization(s) in the City of Miami Beach do you currently hold membership in? Name Position Health Advisory Committee Corporate representative ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property Personal Home address: 811 South Shore Drive Miami Beach FL 33141 If so, which department and title?No● Are you now employed by the City of Miami Beach: ● Pursuant to City Code Section 2-25 (b): Do you have a parent, spouse, child, brother, or sister who is employed by the City of Miami Beach?No If "Yes", identify person(s) and department(s): No relative's information submitted. BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-Dade County Financial Disclosure Code Section 2-11.1(i)(2) I 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 filled 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 $500, 60 days in jail, or both. _____________________________ 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. DIVERSITY STATISTICS REPORT 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. WhiteRace/Ethnic Categories What is your race? No details providedOther Description: Gender:Male Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.Yes Physically Challenged:No 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/OR STATE LAWS AND STATUTES ACCORDINGLY.” I Daniel Nobel agreed to the following terms on 11/19/2021 1:35:02 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Board and Committee Application Checklist: Please ensure you have provided all information before applying or reapplying to any Board and Committee. YES YES YES YES I have answered all questions fully. I have uploaded a current resume, photograph, and a copy of any applicable professional license. I have completed and attached the Board & Committee Financial Acknowledgment Statement. I have completed and attached the Diversity Statistics Report. 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. Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu 1 EDUCATION May 2009 Doctor of Pharmacy University of Florida College of Pharmacy,Gainesville, FL May 2005 Bachelor in Science, Food Science and Human Nutrition University of Florida, Gainesville, FL LICENSURE July 2009 FL License Number: PS45039 (active) BOARD CERTIFICATION Dec 2017 Board Certified Oncology Pharmacist (BCOP), Board of Pharmacy Specialties Dec 2012 Board Certified Pharmacotherapy Specialist (BCPS), Board of Pharmacy Specialties CLINICAL CERTIFICATION May 2015 OSHA’s Bloodborne Pathogens and Biomedical Waste Training, University of Miami March 2015 Biological Safety Training, University of Miami Apr 2014 Collaborative Institutional Training Initiative (CITI), University of Miami May 2010 Immunization Certification, American Society of Health-System Pharmacists May 2009 International Pharmacy, University of Florida College of Pharmacy PROFESSIONAL PRACTICE EXPERIENCE May 2018 – Present Hem/Onc Clinical Research Pharmacist Sylvester Cancer Center, Miami, FL ▪ Create and update order sets and data sheets for new studies and protocol amendments ▪ Actively involved as a contributing member of the data safety, phase 1 disease group, beacon research interdisciplinary, and institutional review board ▪ Ensure research clinic is in compliance with hospital policies, state and federal regulations, and joint commission standards. ▪ Provide direct patient care services through counseling and education. ▪ Established the first clinical pharmacy services for the phase 1 clinic. ▪ Oversee all University of Miami DAIDS and Oncology Phase 1 protocol and act as the pharmacist of record. ▪ Provide therapeutic recommendations to the clinical team in alignment with guidelines of each protocol. ▪ Educate inpatient nursing staff on investigational product administration and safety guidelines upon protocol activation and patient admission. ▪ Advise principal investigators on proper dosing and prescribing of investigational products and Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu 2 standard of care medications. ▪ Participate in beacon validation meetings for order-set review, amendments, and approval process. ▪ Actively involved in screening patients and adding research beacon plans to patient profiles. ▪ Provide comprehensive drug profile review for drug interactions, contraindications, and inappropriate therapeutic regimens. ▪ Collaborate with research study groups in developing pharmacy manuals for investigational products . ▪ Actively participate in programs to improve research performance. Aug 2015 – Present Adjunct Faculty, Miami-Dade Medical College Physician Assistant Program Miami, FL ▪ Collaborate with faculty and administrators to improve pharmacy related content and delivery in various courses ▪ Tutor physician assistant students on pharmacology and pharmacotherapy topics ▪ Create and provide lectures, incorporating active learning strategies such as discussions and team based learning Feb 2015 – Apr 2018 Research Pharmacist, Sylvester Cancer Center, Miami, FL ▪ Created and managed the investigational preparation reference list for the IV room ▪ Educate nursing staff on proper administration and compatibility for novel investigational products. ▪ Provided new employee orientation and tour to incoming clinical research staff members ▪ Prepare, label, and dispense investigational products and maintain related regulatory documentation ▪ Dispense research medications in compliance with individual sponsor study protocols ▪ Provide various pharmacotherapy services for special populations, including pediatrics and oncology ▪ Ensure documentation and logging procedures are accurate and adhere to regulatory standards ▪ Ensure compliance of research protocols and standard operating procedures within the IV room ▪ Educate IV room personnel on preparation methods for novel investigational products ▪ Developed and present a monthly error log as a process improvement procedure July 2009 – Dec 2016 Pharmacist, CVS, Miami Beach, FL ▪ Advise prescribers on proper choice of medication therapy, dosing, and clarification of prescriptions ▪ Actively counsel and address medication related concerns of patients, including special populations such as pediatrics, geriatrics, and pregnant women ▪ Manage technician team and maintain control of medication inventory ▪ Interact with patients via multiple forms of communication to ensure quality care ▪ Provide immunization services June 2012 – Feb 2015 Pharmacy Educator, Sylvester Cancer Center, Miami, FL ▪ Educated pharmacy staff on policies and new procedures within the department ▪ Updated staff on proper tubing and priming techniques for research and chemotherapy medications ▪ Educated on the proper techniques of dispensing and packaging medications ▪ Reviewed and updated the hematology/oncology IV reference list of medications ▪ Created and managed the first electronic pharmacy workbook through SharePoint drive ▪ Designed competencies based on educational needs of the department ▪ Provided new employee orientation and training within each division of the pharmacy department Aug 2010 – Feb 2015 Hematology/Oncology Pharmacist, Sylvester Cancer Center, Miami, FL ▪ Provided specialized chemotherapy, stem cell transplant, ICU, and internal medicine services ▪ Actively involved in executing clinical research protocols for novel chemotherapy treatment ▪ Ensured compliance of research protocols and standard operating procedures within the IV room ▪ Served as an alternate pharmacist for the pediatric hematology/oncology clinic ▪ Reviewed treatment plans, monitored labs, and performed chemotherapy dosing calculations Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu 3 ▪ Ensured safety and appropriateness of pediatric hematology-oncology chemotherapy regimens ▪ Compounded patient specific TPNs and IV admixtures while utilizing aseptic technique ▪ Worked closely with Beacon and Epic IT teams to streamline and validate order entry procedures ▪ Participated in code blue and rapid response teams ▪ Provided cost containment by obtaining approval and reimbursement for high cost medications Aug 2011 – Aug 2012 Independent Contractor, Natural Standard Medical Publisher, Somerville, Massachusetts ▪ Contributing author and peer reviewer ▪ Collected and interpreted monographs, statistical reports, and protocol summaries to author articles May 2007 – Aug 2007 Pharmacy Intern, Shands Hospital, University of Florida, Gainesville, FL ▪ Assisted the research pharmacy with proper labeling, inventory control, and record keeping activities ▪ Prepared and processed regulatory documents and adverse event reporting for the IRB and corresponding regulatory bodies ▪ Calculated, designed, and prepared total parenteral nutrition based on patient parameters ▪ Engaged in administrative responsibilities and oversaw implementation of new satellite pharmacy May 2003 – Dec 2003 Pharmacy Assistant, Parkshore Pharmacy, Miami, FL ▪ Facilitated and assured quality of unit-dose packaging for patients of long term care facilities PRESENTATIONS (FORMAL LECTURES) Feb 2018- Present Introduction to Investigational Drug Services (Research Pharmacy Slides) Present to new employees of the clinical research services at the University of Miami Jan 2017- Present The Art of Writing Prescriptions Presented to Physician Assistant 2nd year students at Miami Dade Medical College Nov 2012 Natural Medicine: Understanding Product Development and Application to Patient Safety Presented to University of Miami faculty and health care practitioners iCamp, Integrative and Complementary Medicine Practicum Jan 2012 Differences Between Thymoglobulin and ATGAM Medications Presented to University of Miami pharmacists and technicians Department of Pharmacy at Sylvester Cancer Center April 2009 Osteoporosis Overview and Available Treatment Options Presented to College of Pharmacy faculty and students University of Florida, Jacksonville, FL Jan 2009 ACCP: CHEST Updates in Clinical Practice Guidelines Presented to clinical pharmacist and pharmacy student Shands Hospital at the University of Florida, Gainesville, FL Nov 2008 Structure of Pharmacy Practice and Pharmacy Education Curriculum in The United States Presented to clinical faculty, pharmacy students, and preceptors Universitat de Barcelona, Barcelona, Spain Aug 2008 Antiretroviral Agents and Treatment Options for Kaposi’s Sarcoma Presented to clinical pharmacists, residents, and students Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu 4 Department of pharmacy at Jackson Memorial Hospital, Miami, FL Aug 2008 Raltegravir with Optimized Background Therapy for Resistant HIV-1 Infections Presented to clinical pharmacists, residents, and students Department of pharmacy at Jackson Memorial Hospital, Miami, FL May 2008 Patient Case Presentation: Diabetes Mellitus Type II Presented to clinical pharmacists and pharmacy students Department of pharmacy at Memorial Hospital, Jacksonville, FL April 2008 Management of Chronic Obstructive Pulmonary Disease Presented to clinical pharmacists and pharmacy students Department of pharmacy at Memorial Hospital, Jacksonville, FL PUBLICATIONS Fall 2011 Salmonellosis and Reptiles Consumer Monograph Natural Standard Research Collaboration, Cambridge, MA. LEADERSHIP: COMMITTEE INOVLEMENT Jan 2020 – Present University of Miami PGY2 Preceptor Advisory Committee, Miami, FL May 2018 – Present Beacon Research Multi-Disciplinary Committee, Miami, FL Jun 2017 – Present Health Advisory Committee, Miami Beach, FL Sep 2016 – Present University of Miami Central IRB member, Miami, FL April 2016 – Present Experiential Education Committee: Preceptor Advisory Board Larkin College of Pharmacy, Miami, FL Feb 2015 – Present University of Miami Data Safety Monitor Committee Content Expert, Miami, FL Nov 2015 – Present University of Miami PGY1 Preceptor Advisory Committee, Miami, FL Nov 2015 – Jun 2017 University of Miami Protocol Review Committee, Miami, FL Sep 2012 – Oct 2014 University of Miami Nutritional Advisory Committee, Miami, FL PROFESSIONAL SERVICE AND ACTIVITIES Apr 2021 HOPA National Annual Virtual Conference Mar 2018 Nova Southeastern University 2018 Future Summit, Davie, FL Feb 2018 AAHRPP Reaccreditation Site Visit Interview for University of Miami, Miami, FL Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu 5 Oct 2017 Judge for Local ASHP Larkin University Clinical Skills Competition, Miami, FL Jan 2017 – Present Preceptor for Larkin College of Pharmacy, Miami, FL April 2016 - Present Annual ACPE Accreditation Interview for Larkin University, Miami, FL Feb 2016 – Feb 2018 Toast Masters, Miami , FL Sep 2015 – Present Preceptor for Nova Southeastern College of Pharmacy, Miami, FL Dec 2016 Larkin Community Outreach Patient Education Fair, Hialeah, FL Aug 2016 Career Panel (IDS Introduction) at Larkin College of Pharmacy, Miami, FL April 2014 – April 2015 Staff Relief Research Pharmacist, UM AIDS Clinical Research Unit, Miami, FL Sep 2013 UM-IRB Expert Consultant for a Randomized, Double-Blind, Placebo-Controlled Study, Miami, FL May 2012 Neighborhood Leader, Miam Beach City Hall Leadership Academy, Miami Beach, FL March 2008 International Studies Outreach Chair, University of Florida, Gainesville, FL May 2004 – June 2005 Chairman of Fund Raising, Pre-Pharmacy Society, University of Florida, Gainesville, FL PROFESSIONAL DEVELOPMENT Nov 2017 - Present Miami Leukemia Symposium, Miami, FL March 2017 Sylvester Cancer Center Retreat, Miami, FL Jan 2014- Present Miami Cancer Meeting, Miami, FL July 2012 – Jan 2014 University of Miami Clinical Nutrition Seminars, Miami, FL April 2013 Clinical Nutrition Assessment Conference, Miami, FL March 2012 Initial Consultant Pharmacy Licensure at Nova Southeastern University, Davie, FL April 2012 Clinical Nutrition Assessment Conference, Miami, FL Jan 2011 Miami Cancer Meeting, Miami, FL INTERNATIONAL OUTREACH SERVICE April 2008 Project Heal, Interdisciplinary International Clinical Outreach, Ecuador Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu 6 PROFESSIONAL AFFILIATIONS June 2015 – Present Hematology/ Oncology Pharmacy Association June 2012 – Present American College of Clinical Pharmacy April 2008 – Present Florida Society of Health System Pharmacists Sep 2005 – Jan 2010 American Society of Health System Pharmacists Aug 2005 – Jan 2009 American Pharmacist Association Academy of Student Pharmacists May 2004 – June 2005 Pre-Pharmacy Society DOCTORATE OF PHARMACY, ADVANCED PHARMACY PRACTICE EXPERIENCES (APPE) March 2008 – Feb 2009 Ambulatory Care, Shands Hospital at the University of Florida Preceptor: Karen Sando, PharmD International Foreign Study, Universitat de Barcelona Preceptor: Douglas Ried, PharmD HIV/ Infectious Disease, Jackson Memorial Hospital Preceptor: Nafessa Chin-Beckford, PharmD Geriatrics OmniCare Preceptor: Brian Wolstenholm, PharmD, CPh Community Pharmacy, Walgreens Preceptor: Bob Bibliowicz, BPharm Adult Medicine, Memorial Hospital, Preceptor: Jamie Snider, PharmD International Foreign Study, Project Heal, Ecuador, Preceptor: Doug Ried, PharmD REFERENCES AVAILABLE UPON REQUEST