Medical Malpractice Cases

Medical Malpractice Cases In Bradford County Florida

Dr. Joelle M Innocent-Simon Medical Malpractice Lawsuits - Court Case # 07-CA-257

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747474
Claim Number :25190
Date Submitted :1/28/2008
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoelleMInnocent-Simon
Insurer TypeStreet Address of Practice
Licensed1210 Andrews Circle
CityStateZip CodeCounty
StarkeFL32091Bradford
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600460 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6902Family Physicians or General Practitioners - No Surgery1175

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBradford
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Nursing Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/15/20062/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thromboembolic event of bilateral lower extremities
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :747.64
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely and appropriately conduct tests, order consults, and transfer patient to the hospital
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/1/200707-CA-257
County Suit Filed inDate of Final Disposition
Bradford11/28/2007
Other Defendants Involved in this Claim
E&M Medical Services
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/24/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$10,024
All Other Loss Adjustment Expense Paid$2,790
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$79,339$0
Wage Loss$0$0
Other Expenses$5,700$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:1/28/2008 3:31:38 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 11/28/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition12-OCT-0728-NOV-07

 

 

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Dr. JAVIER PEREZ Medical Malpractice Lawsuits - Court Case # 10-62256CA22

Indemnity Paid: $187,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160898
Claim Number :C141711
Date Submitted :6/29/2011
 
Insurer Information
 
Insurer NameCoverage Type
ADMIRAL INSURANCE COMPANY Primary
Insurer FEINProfessional License Number
22-2235730 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDianeMPucci
Street Address
1255 Caldwell Road
CityStateZip
Cherry HillNJ08034
PhoneExtFaxE-Mail Address
(856) 857 - 3375 (856) 429 - 3630dpucci@admiralins.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAVIER PEREZ
Insurer TypeStreet Address of Practice
Licensed777 EAST 25TH STREET, SUITE 102
CityStateZip CodeCounty
HIALEAHFL33013Dade
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EO000008511-03$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55359Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDade
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIALEAH HOSPITAL100053
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/20/20093/17/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
FLU LIKE SYMPTOMS FOR MORE THAN 1 WEEK
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT DIAGNOSED WITH PNEUMONIA AND HYPOKALEMIA.FAILURE TO GIVE ANTIBIOTICS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO INITIALLY TREAT WITH TAMIFLU WITH SEEN IN THE E/R
Principal Injury Giving Rise To The Claim
FATALITY
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/7/201010-62256CA22
County Suit Filed inDate of Final Disposition
Bradford4/1/2011
Other Defendants Involved in this Claim
HIALEAH HOSPITAL
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/6/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$187,500
Loss Adjust Expense Paid to Defense Counsel$34,670
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$5,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NONE
 
Updates
 
No updates found.

 

 

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Dr. Joelle M Innocent-Simon Medical Malpractice Lawsuits - Court Case # 04-2003-CH-0461

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953125
Claim Number :18387
Date Submitted :5/13/2009
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoelleMInnocent-Simon
Insurer TypeStreet Address of Practice
Licensed1550 S. Water St.
CityStateZip CodeCounty
StarkeFL32091Bradford
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600460 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6902Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBradford
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SHANDS HOSPITAL100113
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/26/20029/8/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Myocardial Infarction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Catheterization
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose MI
Principal Injury Giving Rise To The Claim
Myocardial infarction
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/13/200304-2003-CH-0461
County Suit Filed inDate of Final Disposition
Bradford5/4/2009
Other Defendants Involved in this Claim
Shands Teaching Hospital
Gros, MD, Bernard
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/30/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$125,000
Loss Adjust Expense Paid to Defense Counsel$174,316
All Other Loss Adjustment Expense Paid$68,355
Injured Person's Total Non-Economic Loss$125,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$41,000$0
Wage Loss$100,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:5/13/2009 3:48:46 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 05/04/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition26-MAR-0904-MAY-09

 

 

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Dr. Douglas A Coran Medical Malpractice Lawsuits - Court Case # 04-2003-CA-0461

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056182
Claim Number :01G18411PL
Date Submitted :2/1/2010
 
Insurer Information
 
Insurer NameCoverage Type
University of Florida JHMHC Self-Insurance ProgramPrimary
Insurer FEINProfessional License Number
59-600205 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDanelleHTowater
Street Address
3450 Hull Road, Ste 4358
CityStateZip
GainesvilleFL32611-2735
PhoneExtFaxE-Mail Address
(352) 273 - 7006 (352) 273 - 7287towatdt@shands.ufl.edu
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDouglasACoran
Insurer TypeStreet Address of Practice
Self-Insurer922 E Call Street
CityStateZip CodeCounty
StarkeFL32091Bradford
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
UFBOT01G$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60251Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBradford
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BRADFORD HOSPITAL100103
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/26/20024/11/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac evaluation
Diagnostic Code :786.5
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose signs of cardiac distress
Principal Injury Giving Rise To The Claim
Myocardial infarction
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/12/200304-2003-CA-0461
County Suit Filed inDate of Final Disposition
Bradford5/7/2009
Other Defendants Involved in this Claim
Gros, Bernard J
Innocent-Simon, Joelle M
Kemp, David E
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/7/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$152,279
All Other Loss Adjustment Expense Paid$91,922
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Assessment of treatment with physician
 
Updates
 
No updates found.

 

 

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

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Dr. David E Kemp Medical Malpractice Lawsuits - Court Case # 04-2005-CA-646

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056192
Claim Number :02G22592PL
Date Submitted :2/1/2010
 
Insurer Information
 
Insurer NameCoverage Type
University of Florida JHMHC Self-Insurance ProgramPrimary
Insurer FEINProfessional License Number
59-600205 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDanelleHTowater
Street Address
3450 Hull Road, Ste 4358
CityStateZip
GainesvilleFL32611-2735
PhoneExtFaxE-Mail Address
(352) 273 - 7006 (352) 273 - 7287towatdt@shands.ufl.edu
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavidEKemp
Insurer TypeStreet Address of Practice
Self-Insurer922 E Call Street
CityStateZip CodeCounty
StarkeFL32091Bradford
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
UFBOT02G$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72557Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBradford
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BRADFORD HOSPITAL100103
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/16/20037/22/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ankle pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Evaluation of right ankle pain
Diagnostic Code :845
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat ankle fracture
Principal Injury Giving Rise To The Claim
Charcot joint; amputation of foot
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/27/200504-2005-CA-646
County Suit Filed inDate of Final Disposition
Bradford6/5/2008
Other Defendants Involved in this Claim
Shankwiler, Reed 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/5/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$38,711
All Other Loss Adjustment Expense Paid$21,350
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Assessment of treatment with physician
 
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.

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