Department File Number : | M201576659 |
Claim Number : | 59212601 |
Date Submitted : | 12/23/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Antrine | Long | |||
Street Address | |||||
361 Hillsboro Blvd. | |||||
City | State | Zip | |||
Deerfield Beach | FL | 33441 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 788 - 5184 | (954) 944 - 1382 | along@picinsurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ROSANNA | L | GARNER | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2835 W De Leon Street | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33609 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
132540 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME64395 | Neurology - including child - no surgery - All Other |
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 Location | Nonapplicable | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
8/16/2010 | 7/28/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PATIENT PRESENTED TO THE INSURED ON 8/16/2010 WITHCOMPLAINTS OF CONSTANT, SEVERE HEADACHES. THE INSUREDORDERED A CT AND MRI AND XRAY OF THE SPINE. PATIENT WASGIVEN PAIN MEDS AND HEADACHES IMPROVED. SHE WASINSTRUCTED TO FOLLOW UP WITH HER PRIMARY CARE PHYSICIANAND NEUROLOGIST | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PATIENT UNDERWENT RADIATION AND CHEMOTHERAPY in 2012 after being diagnosed with a rare brain tumor. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
PATIENT WAS DIAGNOSEDWITH GLIOMATOSIS CEREBRI-A VERY RARE BRAIN TUMOR | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/24/2014 | 2014-CA-003262 MP | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 10/22/2015 | ||||
Other Defendants Involved in this Claim | |||||
Vincent Di Carlo, M.D. & Associates, P.A. Neurology and Physical Therapy Centers of Tampa Bay Adventist Health Systems Moskovitz, David Gatewat Radiology Consultants, P.A. | |||||
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 | |||||
11/30/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $44,292 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $40,548 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Non-applicable |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ROSANNA L GARNER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROSANNA L GARNER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).