Medical Malpractice Cases

Medical Malpractice Cases In Volusia County Florida

Dr. Paul Phillips Medical Malpractice Lawsuits - Court Case # 2007-11030-CIDL

Indemnity Paid: $7,239,248.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161145
Claim Number :35185-01
Date Submitted :7/26/2011
 
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
IndividualPaul Phillips
Insurer TypeStreet Address of Practice
Licensed5734 Vintage View Avenue
CityStateZip CodeCounty
LakelandFL33813Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
26466$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71554Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
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
2/15/20041/19/2007
 
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
Failure to refer patient to cardiologist for chest pain.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Cardiac arrest, comatose state.
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
6/12/20072007-11030-CIDL
County Suit Filed inDate of Final Disposition
Volusia7/5/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff after appeal ... 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/5/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$7,239,248
Loss Adjust Expense Paid to Defense Counsel$367,814
All Other Loss Adjustment Expense Paid$248,141
Injured Person's Total Non-Economic Loss$7,239,248
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. David L Williams Medical Malpractice Lawsuits - Court Case # 2005 32022 CICI

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640805
Claim Number :A05-32583-05
Date Submitted :5/25/2006
 
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 Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavidLWilliams
Insurer TypeStreet Address of Practice
Licensed1340 Ridgewood Avenue
CityStateZip CodeCounty
Daytona BeachFL32117Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
38525$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME35686Cardiovascular Disease - No Surgery80422

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
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
1/29/20055/31/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Loss of consciousness while playing tennis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac workup including EKG, enzyme studies.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
After workup, it was concluded by Dr. Williams that in all probability, the patient had suffered a vasovagal incident resulting in loss of consciousness.
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
11/28/20052005 32022 CICI
County Suit Filed inDate of Final Disposition
Volusia5/3/2006
Other Defendants Involved in this Claim
Florida Health Care Plans, 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
5/3/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$7,498
All Other Loss Adjustment Expense Paid$9,152
Injured Person's Total Non-Economic Loss$1,000,000
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. YOUSSEF W GUERGUES Medical Malpractice Lawsuits - Court Case # 2005 30343

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746562
Claim Number :274299-1
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
IndividualYOUSSEFWGUERGUES
Insurer TypeStreet Address of Practice
Licensed53 N OLD KINGS RD STE C
CityStateZip CodeCounty
ORMOND BEACHFL32174-5176Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
682327$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73221Anesthesiology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
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
11/3/20031/15/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CERVICAL DEGENERATIVE ARTHRITIS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
STEROID INJECTIONS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO PROPERLY TREAT
Principal Injury Giving Rise To The Claim
CARDIO-RESIPRATORY ARREST
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
2/18/20052005 30343
County Suit Filed inDate of Final Disposition
Volusia7/31/2007
Other Defendants Involved in this Claim
MALIK, VINOD K
PRC 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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
8/10/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$56,689
All Other Loss Adjustment Expense Paid$24,984
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:2/4/2009 10:05:18 AM
Reason for Change:Updated the policy number and ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2509624984
Insured Policy Number274299682327
Amount of Loss Adjustment Expense Paid to Defense Counsel4902256689

 

 

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Dr. Hassan Zulfiqar Medical Malpractice Lawsuits - Court Case # 2009-33994 CICI

Indemnity Paid: $837,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160040
Claim Number :38268-01
Date Submitted :3/2/2011
 
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
IndividualHassan Zulfiqar
Insurer TypeStreet Address of Practice
Licensed1340 Ridgewood Avenue
CityStateZip CodeCounty
Daytona BeachFL32117Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98490$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78417Gastroenterology - Minor Surgery80274

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
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
1/18/20082/5/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stomach discomfort and acid reflux.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Use of phospho-soda in light of abnormal kidney lab results and improper timing of phospho-soda dosages.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Loss of both kidneys.
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
10/12/20092009-33994 CICI
County Suit Filed inDate of Final Disposition
Volusia2/10/2011
Other Defendants Involved in this Claim
Florida HealthCare Plans
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
2/10/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$837,500
Loss Adjust Expense Paid to Defense Counsel$19,391
All Other Loss Adjustment Expense Paid$12,007
Injured Person's Total Non-Economic Loss$837,500
Deductible$25,000
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. GORDON FORBES Medical Malpractice Lawsuits - Court Case # 2008-34016-CICI

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161014
Claim Number :EMC-FLXS-08XS-110181
Date Submitted :7/11/2011
 
Insurer Information
 
Insurer NameCoverage Type
EmCare, Inc. as Self Insured CarrierPrimary
Insurer FEINProfessional License Number
75-1732351 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathy Stockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 722 - 1603kathy_stockton@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGORDON FORBES
Insurer TypeStreet Address of Practice
Self-Insurer721 S. PENINSULA DRIVE
CityStateZip CodeCounty
DAYTONA BEACHFL32118Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2008-Excess$750,000$2,250,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93951Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
2/3/20074/3/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ABSCESS ON GROIN SPREADING TO HIP
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT WAS GIVEN PAIN MEDICATION AND ANTIBIOTICS AND TOLD TO F/U WITH A COLORECTAL SURGEON
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
CELLULITIS AND ABSCESS OF THE TRUNK
Principal Injury Giving Rise To The Claim
NECROTIZING FASCIITIS
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/22/20102008-34016-CICI
County Suit Filed inDate of Final Disposition
Volusia6/26/2011
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
OtherSETTLED BY PARTIES
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/6/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$2,383
All Other Loss Adjustment Expense Paid$7,099
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. BRENT D SCHLAPPER Medical Malpractice Lawsuits - Court Case # 2004 1035 CIDL 1

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643385
Claim Number :83008537
Date Submitted :12/6/2006
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLaurieRSchwartz
Street Address
12424 Wilshire Blvd., 9th Flr.
CityStateZip
Los AngelesCA90025
PhoneExtFaxE-Mail Address
(310) 696 - 0286 (310) 979 - 4930lschwartz@litneutral.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBRENTDSCHLAPPER
Insurer TypeStreet Address of Practice
Licensed1015 N. Stone Street, Ste A
CityStateZip CodeCounty
DelandFL32720Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0118067660000$1,000,000$1,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS4023Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MEMORIAL HOSPITAL-WEST VOLUSIA100045
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/13/20029/5/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pt contacted physician to obtain clearance for a laproscopic cholecystectomy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
laproscopic cholecystectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis occured
Principal Injury Giving Rise To The Claim
Massive stroke with total left-sided paralysis.Pt is presently in a vegatative state in a nursing home.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/18/20042004 1035 CIDL 1
County Suit Filed inDate of Final Disposition
Volusia11/7/2006
Other Defendants Involved in this Claim
Arroyo, MD, PedroJ
Pedro Arroyo, MD, PA
Triplett, ARNP, Sylvia
Family Practice of West Volusia, PA
Spore, MD, Stephen S
Willis, MD, Michael D
Memorial Hospital West Volusia, Inc., d/b/a Florida 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
12/1/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$62,775
All Other Loss Adjustment Expense Paid$33,249
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. hARJOT KAHLON Medical Malpractice Lawsuits - Court Case # 2006 31648 CICI

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851273
Claim Number :EMC-FLXS-06-75745
Date Submitted :11/4/2008
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
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
IndividualhARJOT KAHLON
Insurer TypeStreet Address of Practice
Licensed3 Deepwoods Way
CityStateZip CodeCounty
Ormond BeachFL32174Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-4$750,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87758Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MEMORIAL HOSPITAL - ORMOND BEACH100169
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
8/24/20055/18/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Respiratory distress
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in treating respiratory distress
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in treatment
Principal Injury Giving Rise To The Claim
Anoxic brain injury
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/17/20062006 31648 CICI
County Suit Filed inDate of Final Disposition
Volusia10/30/2008
Other Defendants Involved in this Claim
Florida Hospital Ormond Beach
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
8/18/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$44,101
All Other Loss Adjustment Expense Paid$4,717
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. Nitin J Parikh Medical Malpractice Lawsuits - Court Case # 2002 11766 CIDL

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639609
Claim Number :83-008348
Date Submitted :2/21/2006
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4680 Wilshire Blvd., Sixth Floor
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNitinJParikh
Insurer TypeStreet Address of Practice
Licensed1061 Medical Center Drive., # 103
CityStateZip CodeCounty
Orange CityFL32763Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
011808283-0000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Chiropractic Physician 
License NumberSpecialty Code & ClassificationCertification Number
ME60089Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
VOLUSIA MEDICAL CENTER100072
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/6/20017/2/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
A gallbladder ultrasound revealed gallstones & an enlarged common bile duct.The insured performed an ERCP, a normal pancreatogram was noted with no grooves seen.Dr. Parikh concluded that the common bile duct was giving dilation appearance because of s cystic duct was wrapping around it, but no stones were seen.Dr. Parikh recommended a surgical consultation to address the patient's gallblader.Patient underwent exploratory laparotomy and cholecystectomy and hemorrahagic pancreatitis was found.Patient expired as a result of exacerbated pancreatitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endoscopic retrograde cholangiopancreatography (ERCP) patient developed severe hemorrhagic pancreatitis resulting in her demise.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleges that the patient's pancreatitis was exacerbated by an unnecessary ERCP performed by the insured.As a result the patient's condition deteriorated and she subsequently died 1-1/2 weeks later.
Principal Injury Giving Rise To The Claim
Wrongful Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/18/20022002 11766 CIDL
County Suit Filed inDate of Final Disposition
Volusia10/6/2004
Other Defendants Involved in this Claim
Capulung, Rene 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
10/8/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$750,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$6,074$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None.The insured had no liability in this matter.It was the surgical procedure that caused a worsening of the pancreatitis which casued or contributed patient's death.
 
Updates
 
No updates found.

 

 

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Dr. Nitin J Parikh Medical Malpractice Lawsuits - Court Case # 2002 11766 cidl

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639808
Claim Number :83-008348
Date Submitted :3/7/2006
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4680 Wilshire Blvd., Sixth Floor
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNitinJParikh
Insurer TypeStreet Address of Practice
Licensed1061 Medical Center Drive, # 103
CityStateZip CodeCounty
Orange CityFL32763Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
011808283-0000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60089Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FISH MEMORIAL100072
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/6/20017/2/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
A Gallbladder ultrasound revealed gallstones & an enlarged common bile duct.The insured performed an ERCP, a normal paceratogram was noted with no grooves seen.Co-defendant doctor concluded that the common bile duct was giving dilation appearance because of a cystic duct was wrapping around it, but no stones were seen.Co-defendant doctor recommended a surgical consultation to address the patient?s gallbalder.Patient underwent exploratory laparotomy and cholecystectomy and hemorrhagic panceratitis was found.Patient expired as a result of exacerbated pancreatitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endoscopic retrograde cholangiopancreatography (ERCP_ patient developed severe hemorrhagic pancreatitis resulting in her demise.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleges that the patient?s pancreatitis was exacerbated by an unnecessary ERCP performed by the insured. As a result the patient?s condition deteriorated and she subsequently died 1-1/2 weeks later.
Principal Injury Giving Rise To The Claim
Wrongful Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/18/20022002 11766 cidl
County Suit Filed inDate of Final Disposition
Volusia10/6/2004
Other Defendants Involved in this Claim
Capulung, Rene
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
10/8/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$33,690
All Other Loss Adjustment Expense Paid$28,436
Injured Person's Total Non-Economic Loss$750,000
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
None.The insured had no liability in this matter.It was the surigical procedure that caused a worsening of the pancreatitis which caused or contributed patient's death.
 
Updates
 
No updates found.

 

 

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Dr. ROBERT S HATCH Medical Malpractice Lawsuits - Court Case # 2004 30116 CICI

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640591
Claim Number :270000
Date Submitted :5/12/2006
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKarinaLDobberstein
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0490 (260) 486 - 0808karina.dobberstein@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualROBERTSHATCH
Insurer TypeStreet Address of Practice
Licensed578 STERTHAUS AVE
CityStateZip CodeCounty
ORMOND BEACHFL32174-5128Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
685876$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME74491Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HALIFAX MEDICAL CENTER100017
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
12/18/20029/15/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SWELLING IN THE FINGERS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EMERGENCY MEDICAL TREATMENT
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
ADDITIONAL PAIN AND SUFFERING
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/20/20042004 30116 CICI
County Suit Filed inDate of Final Disposition
Volusia4/7/2006
Other Defendants Involved in this Claim
HALIFAX HOSPITAL MEDICAL CENTER
ANAYAS, CONCEPCION S
SUTTON, SUZANNE
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
4/7/2006
 
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$72,396
All Other Loss Adjustment Expense Paid$21,010
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
NA
 
Updates
 
No updates found.

 

 

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Dr. Stephane Lavoie Medical Malpractice Lawsuits - Court Case # 2002 11559 CIDL

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537026
Claim Number :A02-26238-00
Date Submitted :10/5/2005
 
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
IndividualStephane Lavoie
Insurer TypeStreet Address of Practice
Licensed740 West Plymouth Avenue
CityStateZip CodeCounty
DelandFL32720Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
31352$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME74740Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
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
11/6/20005/21/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Disc herniation at L3-L5.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laminectomy L-3-L5.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Infections in spine and chest wall area causing permanent disability.
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
12/30/20022002 11559 CIDL
County Suit Filed inDate of Final Disposition
Volusia9/14/2005
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
9/14/2005
 
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$30,481
All Other Loss Adjustment Expense Paid$18,772
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. Lora J Shehi Medical Malpractice Lawsuits - Court Case # 2003-31731

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745982
Claim Number :VYT6134
Date Submitted :6/20/2007
 
Insurer Information
 
Insurer NameCoverage Type
ST. PAUL FIRE & MARINE INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
41-0406690 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCarolELee
Street Address
916 St. Germain Street - Ste 110
CityStateZip
St. CloudMN56301
PhoneExtFaxE-Mail Address
(320) 252 - 908710(320) 252 - 4571clee@stpaultravelers.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLoraJShehi
Insurer TypeStreet Address of Practice
Licensed569 Health Boulevard, Ste A
CityStateZip CodeCounty
Daytona BeachFL32114Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0566XM2244$1,000,000$5,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51341Pathology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HALIFAX MEDICAL CENTER100017
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
6/28/200111/27/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pneumonia mass in right lung.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedure.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Pathology interpretation from fine needle biopsy indicating atypical cells consistent with carcinoma.No cancer mass found once lobectomy was undertaken.
Principal Injury Giving Rise To The Claim
Removal of two lobes of the right lung.
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
9/26/20032003-31731
County Suit Filed inDate of Final Disposition
Volusia5/17/2007
Other Defendants Involved in this Claim
Halifax 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
5/17/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$99,921
All Other Loss Adjustment Expense Paid$34,153
Injured Person's Total Non-Economic Loss$300,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$50,000$0
Wage Loss$100,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None known.
 
Updates
 
No updates found.

 

 

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Dr. Asif Mirza Medical Malpractice Lawsuits - Court Case # 2006-10538-CIDL

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745107
Claim Number :23326/23327
Date Submitted :10/22/2007
 
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
IndividualAsif Mirza
Insurer TypeStreet Address of Practice
LicensedPO Box 953457
CityStateZip CodeCounty
Lake MaryFL32795Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601182 02$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78737Internal Medicine - No Surgery70401

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL WATERMAN100057
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/2/20052/3/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Shortness of breath, difficulty swallowing due to Guillain-Barre syndrome
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :799.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly evaluate patient and failure toorder consult and x-rays and treat respiratory distress
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
4/27/20062006-10538-CIDL
County Suit Filed inDate of Final Disposition
Volusia6/21/2007
Other Defendants Involved in this Claim
East Coast Hospital Inpatient Specialists
Florida 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
4/3/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$27,463
All Other Loss Adjustment Expense Paid$18,124
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$672,000
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:10/22/2007 12:44:04 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 06/21/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition28-MAR-0721-JUN-07

 

 

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Dr. Rebecca S Hysong Medical Malpractice Lawsuits - Court Case # 2005-30491 CICI

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744509
Claim Number :31552-01
Date Submitted :2/20/2007
 
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 Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRebeccaSHysong
Insurer TypeStreet Address of Practice
Licensed1501 US Hwy 441 North, Ste 1830
CityStateZip CodeCounty
The VillagesFL32159Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
65150$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85213Surgery - General80143

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HALIFAX MEDICAL CENTER100017
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/9/200310/25/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pancreatitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Conservative treatment of pancreatitis.
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
3/17/20052005-30491 CICI
County Suit Filed inDate of Final Disposition
Volusia2/2/2007
Other Defendants Involved in this Claim
Florida Health Care Plan, 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
2/2/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$108,383
All Other Loss Adjustment Expense Paid$60,118
Injured Person's Total Non-Economic Loss$400,000
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. John Canalizo Medical Malpractice Lawsuits - Court Case # 2009-10981-CIDL

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056815
Claim Number :37944-01
Date Submitted :3/26/2010
 
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
IndividualJohn Canalizo
Insurer TypeStreet Address of Practice
Licensed1530 Cornerstone Blvd., Ste 200
CityStateZip CodeCounty
Daytona BeachFL32117Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99415$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67318Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MEMORIAL HOSPITAL-WEST VOLUSIA100045
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/13/200711/18/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
GERD, with follow up to patient's cardiologist.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose cardiac arrest and or myocardial infarction.
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
3/17/20092009-10981-CIDL
County Suit Filed inDate of Final Disposition
Volusia3/4/2010
Other Defendants Involved in this Claim
Florida Hospital-Deland
Emergency Medicine Professionals, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/4/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$29,376
All Other Loss Adjustment Expense Paid$24,911
Injured Person's Total Non-Economic Loss$400,000
Deductible$25,000
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. Jeremy D Steinbaum Medical Malpractice Lawsuits - Court Case # 2008-14025-CIDL

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056019
Claim Number :27711
Date Submitted :2/24/2010
 
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 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJeremyDSteinbaum
Insurer TypeStreet Address of Practice
Licensed1053 Medical Center Dr., Suite 242
CityStateZip CodeCounty
Orange CityFL32763Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601768 04$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68969Surgery - Vascular 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FISH MEMORIAL100072
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
9/13/20077/18/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe abdominal pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and manage bowel perforation
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
11/26/20082008-14025-CIDL
County Suit Filed inDate of Final Disposition
Volusia2/16/2010
Other Defendants Involved in this Claim
Patel, MD, Snehal C
North Orlando Surgical Group, Inc.
Central Florida Medical Imaging, P.A.
Gersten, MD, Kenneth C
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
12/16/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$375,000
Loss Adjust Expense Paid to Defense Counsel$31,963
All Other Loss Adjustment Expense Paid$7,187
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$108,000$0
Wage Loss$400,000$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:2/24/2010 3:47:24 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 02/16/10
 
Field ChangedFormer ValueNew Value
Date of Final Disposition16-DEC-0916-FEB-10

 

 

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Dr. Snehal C Patel Medical Malpractice Lawsuits - Court Case # 2008-14025-CIDL

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056023
Claim Number :27712
Date Submitted :3/4/2010
 
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 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSnehalCPatel
Insurer TypeStreet Address of Practice
Licensed1053 Medical Center Drive, Suite 242
CityStateZip CodeCounty
Orange CityFL32763Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601768 04$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME96524Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FISH MEMORIAL100072
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
9/13/20077/18/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe abdominal pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and manage bowel perforation
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
11/26/20082008-14025-CIDL
County Suit Filed inDate of Final Disposition
Volusia2/16/2010
Other Defendants Involved in this Claim
North Orlando Surgical Group, Inc.
Central Florida Medical Imaging, PA
Gersten, MD, Kenneth C
Steinbaum, MD, Jeremy D
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
12/16/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$375,000
Loss Adjust Expense Paid to Defense Counsel$30,812
All Other Loss Adjustment Expense Paid$8,866
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$108,000$0
Wage Loss$400,000$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:3/4/2010 1:36:16 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 02/16/10.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition16-DEC-0916-FEB-10

 

 

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Dr. Wayne S Barry Medical Malpractice Lawsuits - Court Case # 2010-13116-CIDL

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264818
Claim Number :40120-01
Date Submitted :9/12/2012
 
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
IndividualWayneSBarry
Insurer TypeStreet Address of Practice
Licensed1530 Cornerstone Blvd., Suite 200
CityStateZip CodeCounty
Daytona BeachFL32117Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99415$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51146Emergency Medicine - No Major Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FISH MEMORIAL100072
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/14/20095/5/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe pharyngitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Imaging and blood work with medications.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient presented with atypical jaw pain.
Principal Injury Giving Rise To The Claim
Death caused by a thoracic aneurysm.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/18/20102010-13116-CIDL
County Suit Filed inDate of Final Disposition
Volusia8/22/2012
Other Defendants Involved in this Claim
Emergency Medicine Professionals, P.A.
Florida Hospital-Fish Memorial
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
8/22/2012
 
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$53,822
All Other Loss Adjustment Expense Paid$11,756
Injured Person's Total Non-Economic Loss$350,000
Deductible$25,000
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. Wayne Barry Medical Malpractice Lawsuits - Court Case # 2010 13531 CIDL

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367055
Claim Number :40054-01
Date Submitted :5/13/2013
 
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
IndividualWayne Barry
Insurer TypeStreet Address of Practice
Licensed1530 Cornerstone Blvd., Ste 200
CityStateZip CodeCounty
Daytona BeachFL32117Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99415$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51146Endocrinology - No Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MEMORIAL HOSPITAL-WEST VOLUSIA100045
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/5/20084/15/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Otitis media (Florida Hospital-Deland).Meningitis (Florida Hospital-Orange City).
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medical management including antibiotics and imaging.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose meningitis at an earlier point.
Principal Injury Giving Rise To The Claim
Bilateral, hearing loss.
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
10/5/20102010 13531 CIDL
County Suit Filed inDate of Final Disposition
Volusia4/23/2013
Other Defendants Involved in this Claim
Florida Hospital-Orange City
Florida Hospital-Deland
Anayas, M.D., Concepcion
Roach, ARNP, Sherene
Perry, RN, Pamela
Community Medical Center of West Volusia
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
4/23/2013
 
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$31,361
All Other Loss Adjustment Expense Paid$13,573
Injured Person's Total Non-Economic Loss$350,000
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. Amy Kelley Medical Malpractice Lawsuits - Court Case # 2010 13531 CIDL

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367056
Claim Number :40054-02
Date Submitted :5/13/2013
 
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
IndividualAmy Kelley
Insurer TypeStreet Address of Practice
Licensed1530 Cornerstone Blvd, Ste 200
CityStateZip CodeCounty
Daytona BeachFL32117Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99415$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME92613Emergency Medicine - No Major Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MEMORIAL HOSPITAL-WEST VOLUSIA100045
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/5/20084/20/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Otitis media (Florida Hospital-Deland).Meningitis (Florida Hospital-Orange City).
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medical management including antibiotics and imaging.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose meningitis at an earlier point.
Principal Injury Giving Rise To The Claim
Bilateral, hearing loss.
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
10/5/20102010 13531 CIDL
County Suit Filed inDate of Final Disposition
Volusia4/23/2013
Other Defendants Involved in this Claim
Florida Hospital-Deland
Anayas, M.D., Concepcion
Roach, ARNP, Sherene
Perry, RN, Pamela
Community Medical Center of West Volusia
Florida Hospital-Orange City
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
4/23/2013
 
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$125,921
All Other Loss Adjustment Expense Paid$98,025
Injured Person's Total Non-Economic Loss$350,000
Deductible$25,000
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. Angela K Dempsey Medical Malpractice Lawsuits - Court Case # 2007-30196 CICI

Indemnity Paid: $337,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850506
Claim Number :145800
Date Submitted :8/28/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAngelaKDempsey
Insurer TypeStreet Address of Practice
Licensed1070 Greenwood Blvd.
CityStateZip CodeCounty
Lake MaryFL32746Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP49996$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME79419Surgery - Opthalmology00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityFilutowski Eye Institute
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/4/20069/27/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Astigmatism.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lasik.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Under correction with laser delivered on the wrong axis due to improper laser setting.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/20072007-30196 CICI
County Suit Filed inDate of Final Disposition
Volusia7/24/2008
Other Defendants Involved in this Claim
Filutowski Eye Institute, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/8/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$337,500
Loss Adjust Expense Paid to Defense Counsel$22,506
All Other Loss Adjustment Expense Paid$17,801
Injured Person's Total Non-Economic Loss$337,500
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
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:8/28/2009 12:18:45 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1971822506
All Other Loss Adjustment Expense Paid1756317801

 

 

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Dr. John Greene Medical Malpractice Lawsuits - Court Case # 2010-20294-CINS

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201059458
Claim Number :37165-01
Date Submitted :12/29/2010
 
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
IndividualJohn Greene
Insurer TypeStreet Address of Practice
Licensed308 Palmetto Street
CityStateZip CodeCounty
New Smyrna BeachFL32168Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
30875$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME12921Surgery - Urological80145

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BERT FISH MEDICAL CENTER100014
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/12/20085/27/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epididymitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Doppler studies and pain medication.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged testicular torsion.
Principal Injury Giving Rise To The Claim
Loss of left testicle.
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
3/12/20102010-20294-CINS
County Suit Filed inDate of Final Disposition
Volusia12/8/2010
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
12/8/2010
 
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$7,933
All Other Loss Adjustment Expense Paid$6,346
Injured Person's Total Non-Economic Loss$325,000
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. John Greene Medical Malpractice Lawsuits - Court Case # 2011 20044 CINS

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201162337
Claim Number :39301-01
Date Submitted :11/18/2011
 
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
IndividualJohn Greene
Insurer TypeStreet Address of Practice
Licensed308 Palmetto Street
CityStateZip CodeCounty
New Smyrna BeachFL32168Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
30875$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME12921Surgery - Urological80145

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MVolusia
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
10/27/200810/13/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of low back pain and testicular pain.Patient ultimately had testicular cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in diagnosing the patient's testicular cancer.Delay caused patient to undergo chemotherapy and removal of testicles.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosing patient's testicular cancer.
Principal Injury Giving Rise To The Claim
Removal of the patient's testicles.
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
1/21/20112011 20044 CINS
County Suit Filed inDate of Final Disposition
Volusia10/28/2011
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
10/28/2011
 
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$13,192
All Other Loss Adjustment Expense Paid$31,710
Injured Person's Total Non-Economic Loss$300,000
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. Robert Cordero Medical Malpractice Lawsuits - Court Case # 2003 10303 CIDL

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535448
Claim Number :B02-26827-00
Date Submitted :6/8/2005
 
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
IndividualRobert Cordero
Insurer TypeStreet Address of Practice
Licensed305 East New York Avenue
CityStateZip CodeCounty
DelandFL32724Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9827$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58086Surgery - Opthalmology80114

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FISH MEMORIAL100072
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/26/20008/20/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Retrobulbar hemorrhage of right eye.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None. Patient at home on side of her automobile, bent over to pick up piece of paper lying on ground and poked her eye with car antenna.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Total blindness in right eye.
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
2/24/20032003 10303 CIDL
County Suit Filed inDate of Final Disposition
Volusia5/11/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/11/2005
 
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$14,233
All Other Loss Adjustment Expense Paid$46,344
Injured Person's Total Non-Economic Loss$300,000
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. Kenneth J Adcook Medical Malpractice Lawsuits - Court Case # 2005-10446-GIDL

Indemnity Paid: $255,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535159
Claim Number :001
Date Submitted :5/10/2005
 
Insurer Information
 
Insurer NameCoverage Type
Linville, Adcook & Dexter, M.D., P.A.Primary
Insurer FEINProfessional License Number
59-1229900ME21202
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeddiBDovan
Street Address
1555 Saxon Boulevard
CityStateZip
DeltonaFL32725
PhoneExtFaxE-Mail Address
(386) 574 - 5748 (386) 574 - 0712teddilad@yahoo.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKennethJAdcook
Insurer TypeStreet Address of Practice
Self-Insurer1565 Saxon Boulevard, Suite 101
CityStateZip CodeCounty
DeltonaFL32725Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
001$9,999,999$9,999,999
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME21202Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherFailure to Diagnose (no institution)
Date of OccurrenceDate Reported to Insurer
8/15/200212/18/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Intraductal carcinoma, right breast.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient alleged failure to diagnose Intraductal carcinoma of theright breast at the time of mammograms performed on August 15, 2002 and October 21, 2003.
Diagnostic Code :239.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose.
Principal Injury Giving Rise To The Claim
Patient alleged failure to diagnose Intraductal carcinoma of theright breast at the time of mammograms performed on August 15, 2002 and October 21, 2003. Patient had modified radical mastectomy, chemotherapy and radiation as treatment.Patient gave conflicting account of whether medical treatment would have differed if discovery earlier, but notice of intent alleged care would have been the same.Patient alleged reduced chance of long-term survival and increased chance of recurrence.
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
4/13/20052005-10446-GIDL
County Suit Filed inDate of Final Disposition
Volusia5/10/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
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
4/29/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$255,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$255,000
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
As to Loss Adjustment Expense Paid to Defense County (above), the practice had insurance providing for defense costs and fees only, no indemnity coverage.As a result, the group paid this settlement from the group's funds, but the $10,056.11 in fees and costs were paid by Gulf Atlantic Legal Defense Insurance Company.As to Safety Management Steps Taken, Dr. Adcook has taken a mammography course for 15 CME units, in March 2005, in Charleston, South Carolina, by Marc Homer, M.D. and completed in the last 30 days a 2-hour patient safety course for radiologists. Additionally, the practice has recently obtained and implemented a computerized assisted detection (CAD) program to supplement their human review of mammograms.
 
Updates
 
No updates found.

 

 

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