Dr. MOHAMED J ANTAR, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. MOHAMED J ANTAR, MD

2150 Park Street

Indemnity Paid: $130,000.00

Insurer Information

Insurer Name				Coverage Type
FD INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
20-3704679
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Melodee			Dixon
Street Address
4655 Salisbury Road
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 296 - 2887	209	(904) 296 - 1013	mdixon@fldic.com

Insured Information

Type	First Name		MI	Last Name
Individual	MOHAMED		J	ANTAR
Insurer Type		Street Address of Practice
Licensed		2150 Park Street
City		State	Zip Code	County
Jacksonville		FL	32204	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
10091		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME23316		Surgery - Urological

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
SAINT VINCENT'S MEDICAL CENTER		100040
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
6/23/2010		10/7/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for scheduled Transvaginal Tape with cystocele and rectocele repair by this insured.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Transvaginal Tape with cystocele and rectocele repair.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
Principal Injury Giving Rise To The Claim
Alleged negligent performance of the Transvaginal Tape with cystocele and rectocele repair; failure to recognize post-operative complications.
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
2/23/2012			2012-CA-001711
County Suit Filed in			Date of Final Disposition
Duval			2/27/2013
Other Defendants Involved in this Claim
St. Vincent's Medical Center, Inc.
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
2/27/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$130,000

Loss Adjust Expense Paid to Defense Counsel

$42,729

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

Circumstances of this case have been discussed with the insured and Risk Management was notified.

Updates

Date of Change:

10/3/2013 8:19:17 AM

Reason for Change:

Additional ALAE received.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	35887	42729

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Does Dr. MOHAMED J ANTAR, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. MOHAMED J ANTAR, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).