Dr. MELCHOR E GONZALEZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. MELCHOR E GONZALEZ, MD

335 Ocean Shore Blvd.

Indemnity Paid: $150,000.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle, Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Melchor		E	Gonzalez
Insurer Type		Street Address of Practice
Licensed		335 Ocean Shore Blvd.
City		State	Zip Code	County
Ormond Beach		FL	32176	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601476 05		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME72928		Surgery - Cardiac

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Flagler
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
FLAGLER HOSPITAL		100090
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
11/28/2007		4/3/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complication of arterial injury following stent placement
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage recognized complication of stent placement
Principal Injury Giving Rise To The Claim
Hematoma
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
7/31/2009			2009 CA 001 764
County Suit Filed in			Date of Final Disposition
Flagler			8/17/2010
Other Defendants Involved in this Claim

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
7/22/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$150,000

Loss Adjust Expense Paid to Defense Counsel

$33,430

All Other Loss Adjustment Expense Paid

$16,170

Injured Person's Total Non-Economic Loss

$150,000

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

9/7/2010 1:08:55 PM

Reason for Change:

Report updated to reflect court document final disposition date of 08/17/2010

Field Changed	Former Value	New Value
Date of Final Disposition	22-JUL-10	17-AUG-10

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Does Dr. MELCHOR E GONZALEZ, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. MELCHOR E GONZALEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).