Dr. PABLO ACEVEDO, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. PABLO ACEVEDO, MD

7614 Jacque Road, Suite C

Hudson, FL

34667

Pasco

Court Case # 51-2001-CA-007134

Indemnity Paid: $30,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200433231
Claim Number :	18063-01
Date Submitted :	4/25/2007

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christine			Sampson
Street Address
200 East Gaines Street
City				State	Zip
Tallahassee				FL	32399
Phone	Ext	Fax	E-Mail Address
(850) 413 - 5358		(850) 921 - 8243	Christine.Sampson@fldfs.com

Insured Information

Type	First Name		MI	Last Name
Individual	Pablo			Acevedo
Insurer Type		Street Address of Practice
Licensed		7614 Jacque Road, Suite C
City		State	Zip Code	County
Hudson		FL	34667	Pasco
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
126948		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME56069		Internal Medicine - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Pasco
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Gulf Coast Harborside Healthcare
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
8/3/1999		8/24/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The insuredwas asked to evaluate the patient for release from a facility, after the patient had suffered from an infection of the lower extremity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured evaluated the patient based on the information that was available to him at the time. He then allowed the patient to be discharged.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient had suffered from DVT and expired the following day from an embolus.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/13/2002			51-2001-CA-007134
County Suit Filed in			Date of Final Disposition
Pasco			10/25/2004
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
10/22/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$30,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

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 consulted with Claims personnel and Defense counsel.$30,000.00 settlement was paid in full and final settlement of all claims on behalf of the insured.

Updates

Date of Change:

10/18/2005 1:51:35 PM

Reason for Change:

Minor chages needed to be made.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	0	29130
All Other Loss Adjustment Expense Paid	0	18696

Date of Change:

4/25/2007 11:12:00 AM

Reason for Change:

OIR updating Historical Closed Claim data.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	29130	0
Portal User Name	Nancy Kirsch	Christine Sampson
All Other Loss Adjustment Expense Paid	18696	0

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

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Frequently Asked Questions

Does Dr. PABLO ACEVEDO, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. PABLO ACEVEDO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).