Department File Number : | M201783833 |
Claim Number : | NEWSPC000112675a |
Date Submitted : | 12/11/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LIBERTY SURPLUS INSURANCE CORPORATION | Primary | ||||
Insurer FEIN | Professional License Number | ||||
04-3390891 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Julie | Hamilton | |||
Street Address | |||||
615 Crescent Executive Court, Suite 212 | |||||
City | State | Zip | |||
Lake Mary | FL | 32746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(321) 972 - 0121 | juliehamilton@hamlinandburton.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kenneth | Collins | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 13610 Bruce B Downs Blvd. | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33612 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
AHE1000242-0115 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9104475 | General Preventative Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | MedExpress Urgent Care | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/12/2014 | 8/19/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient was diagnosed with a Pasteurella multocida infection from a cat bite, which caused osteomyelitis. She suffered damage to the bone and required a partial amputation of the thumb. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The wound was examined and cleaned, and the patient was discharged with a prescription for an antibiotic and a pain medication. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The Insured diagnosed a laceration and abscess/cellulitis, but the patient ultimately diagnosed with and treated for a Pasteurella multocida infection from a cat bite, which resulted in osteomyelitis. | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient had a cat bite that caused an infection, which caused damage to the bone and the need for a partial amputation. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/4/2016 | 16-CA-004204 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 11/9/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Other | Voluntary Dismissal with Prejudice | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $7,375 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $16,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
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Does Dr. KENNETH COLLINS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KENNETH COLLINS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).