| Department File Number : | M201781168 |
| Claim Number : | 15003/11592 Wells |
| Date Submitted : | 2/13/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| SOUTH PINELLAS MEDICAL TRUST | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-6599936 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Gail | Moulds Esquire | |||
| Street Address | |||||
| 100 Second Avenue South, Suite 902S | |||||
| City | State | Zip | |||
| St. Petersburg | FL | 33701 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 551 - 0000 | (727) 896 - 5532 | gmoulds@deaconandmoulds.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Arnaldo | Torres | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 6711 38 Avenue North | ||||
| City | State | Zip Code | County | ||
| St. Petersburg | FL | 33710 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 23381-11 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME62632 | Rheumatology - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/25/2008 | 11/18/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Joint Pain and Joint Swelling. Diagnosed in June 2009 with non-Hodgkin's lymphoma. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Numerous lab studies were ordered as well as an x-ray of left shoulder. Patient did not get shoulder x-rayed and failed to keep follow up appointments | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Joint pain and Joint swelling | |||||
| Severity Of Injury | |||||
| Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/13/2012 | 12-4563-CI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 1/10/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Smith, MD, Matthew G Matthew G. Smith MD 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 | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| Other | Dismissed by court for Lack of Prosecution | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $25,849 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $3,606 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Not required | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 2/13/2017 9:06:16 AM | ||||||
| Reason for Change: | Final Date of Disposition was incorrect in first submission. Correct date is 1/10/17 | ||||||
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Does Dr. ARNALDO TORRES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ARNALDO TORRES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).