Medical Malpractice Cases

Medical Malpractice Cases In Indian River County Florida

Dr. John S Suen Medical Malpractice Lawsuits - Court Case # 20010487CA01

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200533892
Claim Number :501080
Date Submitted :1/6/2005
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN HEALTHCARE INDEMNITY COMPANYPrimary
Insurer FEINProfessional License Number
59-2048400 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTerry MBinns
Street Address
1888 Century Park East, Suite 800
CityStateZip
Los AngelesCA90067
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohnSSuen
Insurer TypeStreet Address of Practice
Licensed1355 37TH ST
CityStateZip CodeCounty
VERO BEACHFL32960-7321Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0028251058$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62461Internal Medicine - No SurgeryUNKNOWN-1

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Recovery Room 
Date of OccurrenceDate Reported to Insurer
2/1/19994/5/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Vertebral abscess and osteomylitis at level T3-4.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery at T3 by Neurosurgion (not insd) for left upper lobe mass invasion at T3-4. Insd ordered wrist restraints post surg due to plaintiff's combqativeness (unaware his spinal cord was unstable) resulting in spinal cord damage and paraplegia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Paraplegia
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/3/200120010487CA01
County Suit Filed inDate of Final Disposition
Indian River12/29/2004
Other Defendants Involved in this Claim
Sakalas, Romas
John Suen, M.D., P.A.
Romas Sakalas, M.D., P.A.
Indian River Memorial 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
12/29/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$150,000
All Other Loss Adjustment Expense Paid$20,950
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$500,000$1,500,000
Wage Loss$140,000$160,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Interviews with investigator & defense counsel, answer interrogatiories, deposition, review expert opinions.
 
Updates
 
No updates found.

 

 

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Dr. Dominick J Buro Medical Malpractice Lawsuits - Court Case # 20071844 CA 17

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954061
Claim Number :2-07-0031B
Date Submitted :6/24/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 296 - 1245lollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDominickJBuro
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32961Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
2-GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7615Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/23/20074/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of neck and back pain following fall at home.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedure performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to evaluate, diagnose and treata fracture of the cervical spine.
Principal Injury Giving Rise To The Claim
Broken neck.
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
12/21/200720071844 CA 17
County Suit Filed inDate of Final Disposition
Indian River6/22/2009
Other Defendants Involved in this Claim
Damiani, Brad
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
4/6/2009
 
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$120,629
All Other Loss Adjustment Expense Paid$0
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed the case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0959-CA-01

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955789
Claim Number :2-06-0043A
Date Submitted :12/16/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/1/20045/30/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extreme pain, dizziness, severe swelling of the penis, and difficulty urinating.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Excision debridement of necrotic tissue and debridement of Foumier gangrene.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Urethristis was the initial diagnosis.
Principal Injury Giving Rise To The Claim
Erectile dysfunction, pain, penile deformity, and neurological deficits.
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
11/28/20062006-0959-CA-01
County Suit Filed inDate of Final Disposition
Indian River12/16/2009
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, Inc.
Downs, William
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
9/25/2009
 
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$158,236
All Other Loss Adjustment Expense Paid$0
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Jay p Colella Medical Malpractice Lawsuits - Court Case # 2010-CA-07553

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368610
Claim Number :33707/33708
Date Submitted :12/18/2013
 
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) 240 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJaypColella
Insurer TypeStreet Address of Practice
Licensed3725 11th Circle
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602269 02$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54269Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/2/20094/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Intrauterine pregnancy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Administration of Methotrexate
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose intrauterine pregnancy.
Principal Injury Giving Rise To The Claim
Birth of impaired infant.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/21/20102010-CA-07553
County Suit Filed inDate of Final Disposition
Indian River12/13/2013
Other Defendants Involved in this Claim
Radiology Physicians of Indian River County
Bigay, MD, Felix
Indian River Medical Center
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
10/4/2013
 
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$157,937
All Other Loss Adjustment Expense Paid$73,393
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$296,571$2,000,000
Wage Loss$0$0
Other Expenses$0$19,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:10/11/2013 2:20:20 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 9/19/13
 
Field ChangedFormer ValueNew Value
Date of Final Disposition04-OCT-1319-SEP-13
 
Date of Change:12/18/2013 3:16:28 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 12/13/13.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition19-SEP-1313-DEC-13

 

 

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Dr. George Nichols Medical Malpractice Lawsuits - Court Case # 3120 10CA010302

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201369194
Claim Number :270115/270116
Date Submitted :12/13/2013
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGeorge Nichols
Insurer TypeStreet Address of Practice
Licensed1155 35th Lane, Suite 100
CityStateZip CodeCounty
Vero beachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0072479$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44303Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/8/20076/1/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infection after total knee replacement resulting in amputation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total knee replacement.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Infection.
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
2/9/20103120 10CA010302
County Suit Filed inDate of Final Disposition
Indian River12/10/2013
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/5/2013
 
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$245,861
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$300,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$100,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
No updates found.

 

 

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

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Dr. Virginia Fegert Medical Malpractice Lawsuits - Court Case # 2010CA073192

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201162436
Claim Number :39383-05
Date Submitted :12/7/2011
 
Insurer Information
 
Insurer NameCoverage Type
ANESTHESIOLOGISTS PROFESSIONAL ASSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
59-2820748 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualVirginia Fegert
Insurer TypeStreet Address of Practice
Licensed3770 7th Terrace, Ste 102
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98545$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53880Anesthesiology80151

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/21/20073/2/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Angina, bilateral iliac disease, distal abdominal aortic stenosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Aorto-bifemoral bypass, insertion of central line, general anesthesia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Post-op, patient found to have retained a portion of the guide-wire used to insert triple lumen catheter for central line.
Principal Injury Giving Rise To The Claim
Complications related to retained guide-wire, need for additional surgery to remove scarring.
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
7/26/20102010CA073192
County Suit Filed inDate of Final Disposition
Indian River11/15/2011
Other Defendants Involved in this Claim
Indian River Medical Center
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
11/15/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$475,000
Loss Adjust Expense Paid to Defense Counsel$29,714
All Other Loss Adjustment Expense Paid$11,683
Injured Person's Total Non-Economic Loss$475,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. FELIX BIGAY-RODRIGUEZ Medical Malpractice Lawsuits - Court Case # 20040803CA01

Indemnity Paid: $370,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745599
Claim Number :276049-1
Date Submitted :2/4/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFELIX BIGAY-RODRIGUEZ
Insurer TypeStreet Address of Practice
Licensed787 37TH ST STE E-170
CityStateZip CodeCounty
VERO BEACHFL32960-7317Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
667932$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72743Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/5/200212/12/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
INDUCTION & DELIVERY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CHEST X-RAY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAIL TO DIAGNOSE
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
12/31/200420040803CA01
County Suit Filed inDate of Final Disposition
Indian River5/9/2007
Other Defendants Involved in this Claim
POSADA, HUMBERTO
INDIAN RIVER MEMORIAL
PARTNERS IN WOMENS HEALTH
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/11/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$370,500
Loss Adjust Expense Paid to Defense Counsel$43,529
All Other Loss Adjustment Expense Paid$20,338
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
N/A
 
Updates
 
 
Date of Change:9/11/2007 11:01:53 AM
Reason for Change:Updated claim number and financial information
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid729420293
Claim Number276049276049-1
Amount of Loss Adjustment Expense Paid to Defense Counsel1719931413
 
Date of Change:2/4/2009 10:11:45 AM
Reason for Change:Updated ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2029320338
Amount of Loss Adjustment Expense Paid to Defense Counsel3141343529

 

 

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Dr. HUMBERTO POSADA Medical Malpractice Lawsuits - Court Case # 20040803CA01

Indemnity Paid: $370,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745600
Claim Number :276049-2
Date Submitted :2/4/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHUMBERTO POSADA
Insurer TypeStreet Address of Practice
Licensed787 37 ST E170
CityStateZip CodeCounty
VERO BEACHFL32960-7317Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
667978$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43216Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/5/200212/12/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
INDUCTION & DELIVERY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CHEST X-RAY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAIL TO DIAGNOSE
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
12/31/200420040803CA01
County Suit Filed inDate of Final Disposition
Indian River5/9/2007
Other Defendants Involved in this Claim
BIGAY-RODRIGUEZ, FELIX
INDIAN RIVER MEMORIAL
PARTNERS IN WOMENS HEALTH
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$370,500
Loss Adjust Expense Paid to Defense Counsel$43,529
All Other Loss Adjustment Expense Paid$20,337
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
N/A
 
Updates
 
 
Date of Change:9/11/2007 11:03:52 AM
Reason for Change:Updated claim number and financial information.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid729420293
Claim Number276049276049-2
Amount of Loss Adjustment Expense Paid to Defense Counsel1719931413
 
Date of Change:2/4/2009 10:12:53 AM
Reason for Change:Updated ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2029320337
Amount of Loss Adjustment Expense Paid to Defense Counsel3141343529

 

 

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Dr. Ming T Lai Medical Malpractice Lawsuits - Court Case # 03-CA-067469

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849066
Claim Number :01-0009
Date Submitted :3/28/2008
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON NATIONAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0266645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMingTLai
Insurer TypeStreet Address of Practice
Licensed910 Malabar RoadSutie 2
CityStateZip CodeCounty
Palm BayFL32907Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0006282$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63146Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SEBASTIAN RIVER MEDICAL CENTER100217
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/25/20019/10/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Occluded coronary artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Myocardial infarct
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
3/4/200403-CA-067469
County Suit Filed inDate of Final Disposition
Indian River3/26/2008
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/30/2007
 
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$103,422
All Other Loss Adjustment Expense Paid$18,919
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
Unknown
 
Updates
 
No updates found.

 

 

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Dr. James C Dozier Medical Malpractice Lawsuits - Court Case # 20050553 CA01

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642845
Claim Number :04-0001A
Date Submitted :10/23/2006
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKasandraPMorales
Street Address
2400 North Commerce Parkway, Ste. 305
CityStateZip
WestonFL33326
PhoneExtFaxE-Mail Address
(954) 389 - 089914(954) 389 - 3942kmorales@flhpix.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesCDozier
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
OtherER
Date of OccurrenceDate Reported to Insurer
9/4/20033/15/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged failure to diagnose pulmonary embolism resulting in death
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose pulmonary embolism resulting in death
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose pulmonary embolism resulting in death
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
8/16/200420050553 CA01
County Suit Filed inDate of Final Disposition
Indian River10/13/2004
Other Defendants Involved in this Claim
Emergency Medicine Associates
Indian River Memorial 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
8/17/2006
 
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$49,577
All Other Loss Adjustment Expense Paid$0
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
This information will be provided
 
Updates
 
No updates found.

 

 

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Dr. Brad Damiani Medical Malpractice Lawsuits - Court Case # 2008-2263 CA-11

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159535
Claim Number :2-08-0034A
Date Submitted :1/7/2011
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 394 - 7134lcollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrad Damiani
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000054$500,000$1,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44433Surgery - Traumatic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/9/20076/17/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pt presented to ER with injuries to his head, face and knees, after falling from a golf cart.Pt left the ER, AMA and returned 3 days later after losing consciousness.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedures performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
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
9/17/20082008-2263 CA-11
County Suit Filed inDate of Final Disposition
Indian River1/7/2011
Other Defendants Involved in this Claim
Indian River Memorial Hospital
Emergency Medicine Associates
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
11/19/2010
 
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$78,346
All Other Loss Adjustment Expense Paid$0
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed this case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Michele F Libman Medical Malpractice Lawsuits - Court Case # 05-742-CA

Indemnity Paid: $345,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848565
Claim Number :PHY-04-37631
Date Submitted :2/11/2008
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMicheleFLibman
Insurer TypeStreet Address of Practice
Licensed3302 S.W. Holly Lane
CityStateZip CodeCounty
Palm CityFL34990Martin
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-2879$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81297Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMartin
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MARTIN MEMORIAL HOSPITAL SOUTH120009
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/4/20034/19/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Neck injury after diving into shallow water
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose cervical injury from CT films
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Cervical injury, neuro deficits
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
9/13/200505-742-CA
County Suit Filed inDate of Final Disposition
Indian River1/13/2008
Other Defendants Involved in this Claim
Martin Memorial 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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
9/12/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$345,000
Loss Adjust Expense Paid to Defense Counsel$161,380
All Other Loss Adjustment Expense Paid$29,096
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
Unknown
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0351-CA-01

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056518
Claim Number :2-05-0031A
Date Submitted :2/17/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/27/20055/13/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Incapacitating pain in left side of chest radiating into the left arm. Patient lost consciousness in the ER Triage.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted resuscitation. Intubation and defibrilation of patient in an attempt to save patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient had lost consciousness and was in full cardio pulmonary arrest when Insured arrived to attend to patient.
Principal Injury Giving Rise To The Claim
Patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/20062006-0351-CA-01
County Suit Filed inDate of Final Disposition
Indian River2/17/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$155,046
All Other Loss Adjustment Expense Paid$0
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0351-CA-01

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056638
Claim Number :2-05-0031A
Date Submitted :3/5/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/27/20055/13/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Incapacitating pain in left side of chest radiating into the left arm. Patient lost consciousness in the ER Triage.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted resuscitation. Intubation and defibrilation of patient in an attempt to save patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient had lost consciousness and was in full cardio pulmonary arrest when Insured arrived to attend to patient.
Principal Injury Giving Rise To The Claim
Patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/20062006-0351-CA-01
County Suit Filed inDate of Final Disposition
Indian River2/17/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$156,050
All Other Loss Adjustment Expense Paid$0
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0351-CA-01

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057386
Claim Number :2-05-0031A
Date Submitted :5/20/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/27/20055/13/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Incapacitating pain in left side of chest radiating into the left arm. Patient lost consciousness in the ER Triage.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted resuscitation. Intubation and defibrilation of patient in an attempt to save patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient had lost consciousness and was in full cardio pulmonary arrest when Insured arrived to attend to patient.
Principal Injury Giving Rise To The Claim
Patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/20062006-0351-CA-01
County Suit Filed inDate of Final Disposition
Indian River2/17/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$159,069
All Other Loss Adjustment Expense Paid$0
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Olga M Quiros Medical Malpractice Lawsuits - Court Case # 2002 0454 CA 01

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537387
Claim Number :00-0592
Date Submitted :10/14/2005
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON NATIONAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0266645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualOlgaMQuiros
Insurer TypeStreet Address of Practice
Licensed10 Edgewater Drive, Apartment 3-E
CityStateZip CodeCounty
MiamiFL33133Dade
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP00061890$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51756Neonatal/Perinatal Medicine 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MDade
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Nursery 
Date of OccurrenceDate Reported to Insurer
7/13/200010/4/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infant delivered with dusky color - improved slightly - still with bounding heart beat
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Infant evaluated by Dr. Casanova and pediatrician, noting gallop in heart beat.Dr. Casanova was told she could wait until morning to see infant.upon arrival infant having trouble breating and transfer was arranged.Appears to be significant delay in actual transfer of infant.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Death of infant.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/15/20022002 0454 CA 01
County Suit Filed inDate of Final Disposition
Indian River9/30/2005
Other Defendants Involved in this Claim
Kidz Medical Services, Inc.
Biscayne Aero Med, Inc.
Baptist Health South Florida
Bertolette, M.D., Randall
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
9/30/2005
 
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$39,388
All Other Loss Adjustment Expense Paid$19,484
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
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Brad Damiani Medical Malpractice Lawsuits - Court Case # 20071844 CA17

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954059
Claim Number :2-07-0031A
Date Submitted :6/24/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 296 - 1245lcollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrad Damiani
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32961Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
2-GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44433Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/23/20074/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of neck and back pain following fall at home.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedure performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleging failure to diagnose and treat a fracture of the cervical spine.
Principal Injury Giving Rise To The Claim
Broken neck.
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
12/21/200720071844 CA17
County Suit Filed inDate of Final Disposition
Indian River6/22/2009
Other Defendants Involved in this Claim
Buro, Dominick J
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
4/6/2009
 
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$42,191
All Other Loss Adjustment Expense Paid$0
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed this case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JOHN T DAVIDSON Medical Malpractice Lawsuits - Court Case # 20040179CA01

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534435
Claim Number :A03-28958-01
Date Submitted :2/23/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOHNTDAVIDSON
Insurer TypeStreet Address of Practice
Licensed1300-36th Street, Suite 1-H
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
16077$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53369Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SEBASTIAN RIVER MEDICAL CENTER100217
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/9/20017/21/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for left shoulder tear.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent arthroscopic Bankart repair.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
It is alleged that the insured used an inappropriate anchor device during a surgical procedure.
Principal Injury Giving Rise To The Claim
Patient had a total left shoulder replacement.
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
3/2/200420040179CA01
County Suit Filed inDate of Final Disposition
Indian River1/24/2005
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/24/2005
 
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$16,486
All Other Loss Adjustment Expense Paid$7,269
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$61,000$0
Wage Loss$41,000$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. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Melissa Reynolds Medical Malpractice Lawsuits - Court Case # 312009CA011778

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201055927
Claim Number :38583-01
Date Submitted :1/4/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMelissa Reynolds
Insurer TypeStreet Address of Practice
Licensed3745 11th Circle, Ste 109
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9986$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53428Cardiovascular Disease - No Surgery80255

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Lucie
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/9/20074/16/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cardiovascular disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to follow-up abnormal stress test.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
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
7/21/2009312009CA011778
County Suit Filed inDate of Final Disposition
Indian River12/15/2009
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/15/2009
 
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$5,681
All Other Loss Adjustment Expense Paid$3,834
Injured Person's Total Non-Economic Loss$250,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. MARK ZIMMERMAN Medical Malpractice Lawsuits - Court Case # 312010CA073974

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160035
Claim Number :38802-01
Date Submitted :3/1/2011
 
Insurer Information
 
Insurer NameCoverage Type
ANESTHESIOLOGISTS PROFESSIONAL ASSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
59-2820748 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARK ZIMMERMAN
Insurer TypeStreet Address of Practice
Licensed3745 11th Circle, Ste 107
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
38282$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7702Anesthesiology80151

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
4/15/20096/9/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Disk impingement at T7-8 at thecal sac; chronic mid-thoracic back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Thoracic epidural steroid injection under fluoroscopic guidance.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient developed epidural hematoma which required surgical intervention to evacuate.Patient alleges paraplegia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/7/2010312010CA073974
County Suit Filed inDate of Final Disposition
Indian River2/8/2011
Other Defendants Involved in this Claim
Indian River Surgery Center
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
2/8/2011
 
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$6,339
All Other Loss Adjustment Expense Paid$4,825
Injured Person's Total Non-Economic Loss$250,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. ACHILLES O STACHTIARIS Medical Malpractice Lawsuits - Court Case # 31-2010CA075374

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366381
Claim Number :5145912
Date Submitted :1/27/2014
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusanKSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualACHILLESOSTACHTIARIS
Insurer TypeStreet Address of Practice
Licensed13695 US Highway 1
CityStateZip CodeCounty
SebastianFL32958Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
684873$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59340Anesthesiology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SEBASTIAN RIVER MEDICAL CENTER100217
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
11/20/200810/12/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hip pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Anesthesia for hip replacement
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to monitor
Principal Injury Giving Rise To The Claim
Brain damage with permanent neurological injuries
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/18/201131-2010CA075374
County Suit Filed inDate of Final Disposition
Indian River2/26/2013
Other Defendants Involved in this Claim
Sebastian River Medical Center
Sebastian River Anesthesiology Associates 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/26/2013
 
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$29,820
All Other Loss Adjustment Expense Paid$10,898
Injured Person's Total Non-Economic Loss$125,000
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
N/A
 
Updates
 
 
Date of Change:9/23/2013 3:29:52 PM
Reason for Change:Update ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid59556257
Amount of Loss Adjustment Expense Paid to Defense Counsel2546926160
 
Date of Change:1/27/2014 4:31:31 PM
Reason for Change:ALE UPDATE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid625710898
Amount of Loss Adjustment Expense Paid to Defense Counsel2616029820

 

 

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Dr. Pranay Ramdev Medical Malpractice Lawsuits - Court Case # 312012CA000921

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366675
Claim Number :40105-01
Date Submitted :4/3/2013
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPranay Ramdev
Insurer TypeStreet Address of Practice
Licensed955 37th Place
CityStateZip CodeCounty
Vero BeachFL32963Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
87591$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87031Surgery - Vascular80146

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Lucie
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAWNWOOD REG. MED. CTR100246
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
4/30/20104/30/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
62 year old female patient suffered fall in parking lot, resulting in right proximal humerus fracture, a right posterior shoulder dislocation, left knee dislocation, left tibial plateau fracture, left proximal fibula fracture, left humerus condyle fracture, left radial heal dislocation & blunt head trauma.Pt presented at Hosp. A but, because of her multiple, complicated injuries, was trans. to Hosp. B, a trauma center.Patient's transfer to Hosp. B was initiated before practitioner was called by emergency department at Hosp. A.As a result of an alleged delay in treatment unrelated to practitioner, the patient's left leg became necrotic, required multiple debridements, amputation and she ultimately died from sepsis at Hospital B.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Our insured never provided care to this patient and was not on call to respond.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
After an alleged 36 hour delay, the on-call surgeon eventually operated on the patient in order to re-establish blood flow, which was unsuccessful.
Principal Injury Giving Rise To The Claim
The patient's left leg became necrotic, required multiple debridements, amputation and she ultimately died from sepsis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/8/2012312012CA000921
County Suit Filed inDate of Final Disposition
Indian River3/8/2013
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/8/2013
 
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$67,842
All Other Loss Adjustment Expense Paid$6,205
Injured Person's Total Non-Economic Loss$250,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Irvin Keller Medical Malpractice Lawsuits - Court Case # 312012CA001906

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366975
Claim Number :41385-04
Date Submitted :5/6/2013
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualIrvin Keller
Insurer TypeStreet Address of Practice
Licensed777 37th Street, Suite C-104A
CityStateZip CodeCounty
Vero BeachFL32961Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
3500$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME19360Neurology - Including Child - No Surgery80261

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
6/16/20105/18/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Opacified posterior longitude ligament, causing cervical compression.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Disputed allegation of improper performance of anterior cervical diskectomy and fusion, resulting in left-side hemiparesis.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Left-side hemiparesis.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/1/2012312012CA001906
County Suit Filed inDate of Final Disposition
Indian River4/8/2013
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/8/2013
 
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$19,254
All Other Loss Adjustment Expense Paid$7,094
Injured Person's Total Non-Economic Loss$250,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. George Mitchell Medical Malpractice Lawsuits - Court Case # 2008-2638CALL

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058402
Claim Number :35515-06
Date Submitted :8/27/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGeorge Mitchell
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99433$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS4593Hospitalists80814

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
11/17/20067/16/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient underwent knee replacement; following surgery the patient went into cardiopulmonary arrest and subsequently died 10 days later.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The daughter of the decedent alleged that the insured failed to monitor the patient's condition, failed to provide an appropriate differential diagnostic plan and ordered excessive sedation, resulting in her father's death.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
The decedent's (personal representative of estate) alleged that the insured failed to properly monitor, provide a differential diagnostic plan and ordered excessive sedation, resulting in her father's death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/4/20082008-2638CALL
County Suit Filed inDate of Final Disposition
Indian River8/6/2010
Other Defendants Involved in this Claim
Indian River Medical Center
Pierone, M.D., Gerald
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
8/6/2010
 
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$68,299
All Other Loss Adjustment Expense Paid$48,953
Injured Person's Total Non-Economic Loss$250,000
Deductible$100,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Irvin Keller Medical Malpractice Lawsuits - Court Case # CA20082263

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201059362
Claim Number :37332-01
Date Submitted :12/10/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualIrvin Keller
Insurer TypeStreet Address of Practice
Licensed3790 7th Terrace, Suite 201
CityStateZip CodeCounty
Vero BeachFL32961Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
3500$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME19360Surgery - Neurology - Including Child80152

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
3/9/20076/30/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to the ER with a three day history of head (frontal) trauma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patents of this, then, 23 year old male, alleged that the insured failed to timely perform a craniectomy, resulting in the death of their son.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
The patient had a three day history of head trauma.The parents alleged that the insured failed to timely perform an craniectomy, resulting in their son's death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/25/2008CA20082263
County Suit Filed inDate of Final Disposition
Indian River11/19/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital
Mr. & Mrs. Thomas Dalsey
Gheringer, Blake
Belt, Justin
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
11/19/2010
 
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$70,119
All Other Loss Adjustment Expense Paid$27,173
Injured Person's Total Non-Economic Loss$250,000
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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