Curriculum Vitae. Jere J. Mammino, D.O. Sub-Investigator
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1 Curriculum Vitae Jere J. Mammino, D.O. Sub-Investigator Office Locations: Leavitt Medical Management (DBA) Advanced Dermatology and Advanced Cosmetic Surgery 1410 West Broadway, Suite 205 Oviedo, Florida Tel: (407) Fax: (407) Leavitt Medical Management (DBA) Ameriderm Research 903 North Central Avenue Kissimmee FL, Tel: (407) Fax: (407) Education: Academic Hahnemann Medical College and Hospital Philadelphia, Pennsylvania College Accelerated Program September June 1974 Albright College Reading, Pennsylvania B.S. in Biochemistry, Cum Laude August June 1978 Philadelphia College of Osteopathic Medicine Philadelphia, Pennsylvania Doctor of Osteopathic Medicine July June 1982 Internship Residency Kennedy Memorial Hospitals - University Medical Center Voorhees, New Jersey Chief Intern July June 1983 National Naval Medical Center Bethesda, Maryland Dermatology Resident July June 1989 Licensure: State of Florida - OS 6033 Certifications: National Board of Osteopathic Medical Examiners July 1, 1983 The American Board of Dermatology November 6, 1989 American Osteopathic Board of Dermatology March 28, 1991
2 Hospital Affiliations: Work History: Florida Hospital 7727 Lake Underhill Road Orlando, Florida June Present Advanced Dermatology and Advanced Cosmetic Surgery Oviedo, Florida July 1992 Present Ameriderm Research Kissimmee, Florida Sub-Investigator January Present Carolina Dermatology Center Greensboro, North Carolina July June 1992 Wright-Patterson Medical Center, Ohio Dayton, Ohio Major, United States Air Force July June 1991 Royal Air Force Bentwaters Clinic, United Kingdom Suffolk, England Captain, United States Air Force General Medical Officer July June 1986 Academic Appointments: University of Central Florida College of Medicine Orlando, Florida Assistant Professor of Dermatology Department of Dermatology 2009 Present NOVA Southeastern University College of Osteopathic Medicine Fort Lauderdale, Florida Clinical Assistant Professor Division of Dermatology 2007 Present Florida Hospital Orlando, Florida Director, Dermatology Residency Program July June 1997 Wright State University, School of Medicine Dayton, Ohio Assistant Clinical Professor Department of Dermatology July June 1991
3 Professional Memberships: Professional Committees: American Academy of Dermatology Fellow - Fellow Central Florida Society of Dermatology - Member American Osteopathic Association Member National Psoriasis Foundation Member Internet Dermatology Society - Member Secretary/Treasurer Present Trustee Chairman, Internet Committee Present Chairman, Finance Committee Member, Fellowship Committee Present Vice Chairman, Training Examination Committee Member, Bylaws Committee Present Member, Education Evaluating Committee 1992 Present Journal of the Member, Editorial Review Board Present Central Florida Society of Dermatology Treasurer 1994
4 Awards and Honors: United States Air Force Honorable Discharge, Major Air Force Commendation Medal (with Oak Leaf Cluster) National Defense Service Medal Air Force Outstanding Unit Award Overseas Long Tour Ribbon Air Force Longevity Service Award Small Arms Expert Marksmanship Ribbon Air Force Training Ribbon Daniel Koprince, D.O. Education Award Presented at the Annual Osteopathic Convention. Best Dermatology Resident s Paper Journal of the Association of Military Dermatologist Resident Award. One of the top three resident papers published during Daniel Koprince, D.O. Education Award II. Presented by the Osteopathic Dermatologists at the Annual Osteopathic Convention. One of the two best lectures Lecturer of the Year Award. Presented by the Intern Class of Florida Hospital - East Orlando and 1999 Publications: Retinoids: Past, Present and Future. Journal of the Association of Military Dermatologists, Vol. 14, No. 2: Dermatologists Battle Hirsutism, Baldness. The DO, Vol. 30, No. 3: Syringocystadenoma Papilliferum. International Journal of Dermatology, Vol. 30, No. 11: Furuncular Cutaneous Myiasis. Journal of the Vol. 1, No. 1: 37-38, 2003.
5 A Clinical Survey of Pediatric Skin Disease in Nicaragua with Focus on Pediculosis Capitus. Journal of the Vol. 2, No. 2: 24-28, Paederus Dermatitis: An Outbreak on a Medical Mission Boat in the Amazon Journal of the Vol. 8, No. 1: 57-58, Research: Phase II Topical Treatment of Atopic Dermatitis, 2010 Phase III Oral Treatment of severe recalcitrant nodular acne, 2010
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DANIEL P. BRUNNER DDS, MD 3535 Roswell Road, Suite 27 Marietta, GA 30062 (770) 321-0257 drbrunner@eastcobboralsurgery.com
Personal Married: Children: Professional DANIEL P. BRUNNER DDS, MD 3535 Roswell Road, Suite 27 Marietta, GA 30062 (770) 321-0257 drbrunner@eastcobboralsurgery.com Melissa M. Brunner, Esq. Daniel Jr., Hannah,
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PERSONAL: Married - May 2, 1993 Wife - Lisa Lickstein, MBA, MSW Children - Haley, November 13, 1996; Nicole, June 26, 2000; Jessica, August 30, 2004
C U R R I C U L U M V I T A E NAME: David Alan Lickstein, MD, FACS ADDRESS: 11020 RCA Center Drive Suite 2010 Palm Beach Gardens, FL 33410 (561) 881-8800 www.davidlicksteinmd.com DATE OF BIRTH: October
Jonathan R. Gottlieb, MD 7220 SW 127 Street Pinecrest, FL 33156 jonrgottlieb@gmail.com
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Georgia Institute of Technology, Atlanta, Georgia Major: Master of Industrial Management (completed first year prior to transfer)
MARTIN S. PERLIN, MBA, DBA Section Chief and Associate Professor Programs in Healthcare Administration Department of Health Administration and Policy College of Health and Human Services (703) 993-1967
PROFESSIONAL EXPERIENCE
Isis V. Marrero, MD University of South Florida Department of Psychiatry and Behavioral Neurosciences 3515 E. Fletcher Avenue, MDC Box 14 Tampa, FL 33613 Phone: (813) 974-7582 Fax: (813) 974-2478 E-mail:
EDWARD G. LEWIS 556 East Gill Way, Superior, Colorado 80027-8002 Tel: 303-494-6537; Fax: 303-494-0645; E-Mail: elewis@etgl.com
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NATASHA L. HERZ, MD 4701 RANDOLPH RD, G- 2 ROCKVILLE, MD 20852 PHONE (301)881-5701 WWW.KECEYES.COM
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University of the State of New York; New York State Licensed Psychologist Since 1983; #7640.
CHRISTOPHER JACOB REISS, B.A., M.A., PH.D. Offices 1440 York Avenue, New York, NY 10021 (212) 517-7755 Last Resort Farm, Scottsville, VA 24590 (434) 286-9000 Sea Oaks Club, Vero Beach, FL 32963 (561) 234-6323
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CURRICULUM VITAE PERSONAL INFORMATION. Lindell A. Busciglio, M.D. 4729 North Habana Avenue Tampa, Florida 33614 (813) 251-8444
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CURRICULUM VITAE. University of Pennsylvania M.D., 1973. Medical Resident, 1974-1975
LOS ANGELES CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC. 11645 WILSHIRE BOULEVARD, SUITE 825 LOS ANGELES, CALIFORNIA 90025 (310) 207-3320 Fax: (310) 820-5868 RICHARD M. HYMAN, M.D., QME MACP, FACCP,