Medical Malpractice Cases

Dr. Farrukh Ambareen Medical Malpractice Cases

Court Case # 2014470CA

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574293
Claim Number : 133901
Date Submitted : 4/13/2015
 
Insurer Information
 
Insurer Name Coverage Type
MEDICUS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-5623491  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Farrukh   Ambareen
Insurer Type Street Address of Practice
Licensed 15260 NW 147th Drive Ste. 100
City State Zip Code County
Alachua FL 32615 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL16028397 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME97329 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Mccauley & Assoc. Medical Group
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
12/26/2012 10/16/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
cellulitis of foot
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Inappropriate care of diabetic patient's injured foot
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Inappropriate care of diabetic patient's injured foot resulting in below the knee amputation
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/12/2014 2014470CA
County Suit Filed in Date of Final Disposition
Alachua 8/8/2014
Other Defendants Involved in this Claim
James McCauley, MD PA d/b/a McCauley & Assoc. Medical Group
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/5/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $42,145
All Other Loss Adjustment Expense Paid $12,318
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured met and conferenced with Claims Specialist and Defense Attorney.
 
Updates
 
No updates found.

 

 

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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