Medical Malpractice Cases

Medical Malpractice Cases In Bradford County Florida

Dr. George L Restea Medical Malpractice Lawsuits - Court Case # 2017-CA-000380

Indemnity Paid: $350,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886724
Claim Number : 61744
Date Submitted : 10/12/2018
 
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   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual George L Restea
Insurer Type Street Address of Practice
Licensed 132 E Madison St
City State Zip Code County
Starke FL 32091 Bradford
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600647 14 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME49847 Internal Medicine - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Bradford
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
5/12/2015 4/14/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic pain, opiate withdrawal
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribed medications
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged inappropriate prescription of methadone
Principal Injury Giving Rise To The Claim
Overdose
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/28/2017 2017-CA-000380
County Suit Filed in Date of Final Disposition
Bradford 9/20/2018
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
9/20/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $350,000
Loss Adjust Expense Paid to Defense Counsel $79,898
All Other Loss Adjustment Expense Paid $56,759
Injured Person's Total Non-Economic Loss $0
Deductible $0
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
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Bernard J Gros Medical Malpractice Lawsuits - Court Case # 2013-Ca-000648

Indemnity Paid: $300,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781206
Claim Number : 182397
Date Submitted : 7/27/2017
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
Insurer Contact Information
Type First Name MI Last Name
Individual Denise   Stokes
Street Address
100 Brookwood Place
City State Zip
Birmingham AL 35209
Phone Ext Fax E-Mail Address
(205) 802 - 4790   (205) 802 - 4710 dstokes@proassurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual Bernard J Gros
Insurer Type Street Address of Practice
Licensed 6850 lake Nona blvd
City State Zip Code County
Orlando FL 32827 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MP36570 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME73065 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Bradford
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
4/18/2011 11/19/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
nocturnal, non-exertional esophageal pressure relieved by belching
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
treadmill stress test
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
plaintiff alleged stress test was read incorrectly
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/10/2014 2013-Ca-000648
County Suit Filed in Date of Final Disposition
Bradford 2/7/2017
Other Defendants Involved in this Claim
Interventional Cardiologists of Gainesville
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $300,000
Loss Adjust Expense Paid to Defense Counsel $114,863
All Other Loss Adjustment Expense Paid $52,808
Injured Person's Total Non-Economic Loss $300,000
Deductible $0
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 discussed case with defense counsel, insurance personnel, and medical experts.
 
Updates
 
 
Date of Change: 2/22/2017 4:43:09 PM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 0 61022
Settlement Reached 0 1
Injured Person Total Non-Economic Loss 0 300000
Indemnity Paid 0 300000
All Other Loss Adjustment Expense Paid 0 36693
 
Date of Change: 2/23/2017 9:35:33 AM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 36693 35981
 
Date of Change: 3/29/2017 12:31:01 PM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 61022 114733
All Other Loss Adjustment Expense Paid 35981 52586
 
Date of Change: 5/22/2017 12:06:01 PM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 114733 114863
All Other Loss Adjustment Expense Paid 52586 52646
 
Date of Change: 7/27/2017 4:30:03 PM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 52646 52808

 

 

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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. Deron C Ottey Medical Malpractice Lawsuits - Court Case # 2016 CA 589

Indemnity Paid: $150,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884061
Claim Number : 332207
Date Submitted : 1/10/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Deron C Ottey
Insurer Type Street Address of Practice
Licensed 417 West Call Street
City State Zip Code County
Starke FL 32091 Bradford
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0944439 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME112364 Surgery - Orthopedic  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Bradford
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution Shands Starke Regional Medial Center
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's office
Date of Occurrence Date Reported to Insurer
7/26/2012 7/21/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient suffered from knee pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Evaluation.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The insured performed a right total knee arthroplasty.
Principal Injury Giving Rise To The Claim
The patient suffered a complication and ultimately had her leg amputated.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/21/2016 2016 CA 589
County Suit Filed in Date of Final Disposition
Bradford 12/12/2017
Other Defendants Involved in this Claim
Shands Starke Regional Medical Center
Sutherland, MD, Deon
Advanced Care Hospitalists, PA
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
12/12/2017
 
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 $100,468
All Other Loss Adjustment Expense Paid $15,938
Injured Person's Total Non-Economic Loss $150,000
Deductible $0
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
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.

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Dr. Deon K Sutherland Medical Malpractice Lawsuits - Court Case # 04-2016-CA-0586

Indemnity Paid: $10,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201883946
Claim Number : 1035011-01
Date Submitted : 8/27/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Deon K Sutherland
Insurer Type Street Address of Practice
Licensed 1451 El Camino Real
City State Zip Code County
Lady Lake FL 32159 Sumter
Policy Number Per Claim Policy Limits Aggregate Policy Limits
783016 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME89244 Family Physicians or General Practitioners - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
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
SHANDS HOSPITAL 100113
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/22/2015 7/15/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Osteoarthritis, total right knee arthroplasty
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Consulted orthopedic surgeon, initiated transfer
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to appreciate vascular compromise, promptly refer to another facility for a vascular consult
Principal Injury Giving Rise To The Claim
Right lower extremity vascular occlusion, above knee amputation
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/10/2016 04-2016-CA-0586
County Suit Filed in Date of Final Disposition
Bradford 12/12/2017
Other Defendants Involved in this Claim
Starke HMA LLC
DBA Shands Starke Regional Medical Center
Ottey MD, Deron
Ottey Boane and Joint Associates LLC
Advanced care Hospitalists PL
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $10,000
Loss Adjust Expense Paid to Defense Counsel $31,824
All Other Loss Adjustment Expense Paid $21,722
Injured Person's Total Non-Economic Loss $0
Deductible $0
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
n/a
 
Updates
 
 
Date of Change: 8/27/2018 10:18:26 AM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 31508 31824
All Other Loss Adjustment Expense Paid 14978 21722

 

 

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