Dr. CONNIE D MICKLAVZINA, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. CONNIE D MICKLAVZINA, MD

1925 Mizell Avenue, Suite 205

Indemnity Paid: $228,750.00

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		ProNational Insurance Company
Street Address
13919 Carrollwood Village Run
City				State	Zip
Tampa				FL	33618
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	SNorris@ProAssurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	Connie		D	Micklavzina
Insurer Type		Street Address of Practice
Licensed		1925 Mizell Avenue, Suite 205
City		State	Zip Code	County
Winter Park		FL	32792	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MP39893		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME47350		Surgery - Obstetrics - Gynecology		00000

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Orange
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
FLORIDA HOSPITAL (ORLANDO)		100007
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
7/28/2004		7/29/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Termination of pregnancy by delivery at 26 weeks when labor could not be stopped.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
C-sectionwas performed when variable decelerations occurred.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Infant who weighed 2 pounds with apgars of 1 and 7, developedseizures, multi system failure and expired.
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
12/28/2005			05-CA-1084239
County Suit Filed in			Date of Final Disposition
Orange			1/15/2007
Other Defendants Involved in this Claim
Aventist Health System/Sunbelt 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/19/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$228,750

Loss Adjust Expense Paid to Defense Counsel

$107,153

All Other Loss Adjustment Expense Paid

$63,869

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insured has discussed case with insurance company personnel, medical experts and defensecounsel.

Updates

Date of Change:

5/29/2007 2:42:20 PM

Reason for Change:

Update to reflect addidtional legal fees and expenses paid.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	107138	107153
All Other Loss Adjustment Expense Paid	53088	63869

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Does Dr. CONNIE D MICKLAVZINA, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CONNIE D MICKLAVZINA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).