Dr. DASSY E MAS-SLATTERY, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. DASSY E MAS-SLATTERY, MD

490 Centre Lake Drive, N.E., Suite 200

Palm Bay, FL

32907

Brevard

Court Case # 02 CA 000794 (MP)

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201055923
Claim Number :	E29571-02
Date Submitted :	7/12/2012

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		PROASSURANCE CASUALTY COMPANY
Street Address
2801 SW 149th Avenue, Suite 200
City				State	Zip
Miramar				FL	33027
Phone	Ext	Fax	E-Mail Address
(954) 602 - 5834			mgonzalez@pronational.com

Insured Information

Type	First Name		MI	Last Name
Individual	Dassy		E	Mas-Slattery
Insurer Type		Street Address of Practice
Licensed		490 Centre Lake Drive, N.E., Suite 200
City		State	Zip Code	County
Palm Bay		FL	32907	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PNFL-3001280-01		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME74007		Pediatrics - No Surgery		0

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Palm Beach
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
LAWNWOOD REG. MED. CTR		100246
Location of Institutional Injury		Other Location of Institutional Injury
Labor and Delivery Room
Date of Occurrence		Date Reported to Insurer
6/1/2000		9/20/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tetralogy of Fallot with pulmonary atresia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was no operation performed.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose Tetralogy of Fallot with pulmonary atresia resulting in neurological deficits.
Principal Injury Giving Rise To The Claim
Alleged failure to timely diagnose Tetralogy of Fallot with pulmonary atresia resulting in neurological deficits.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/28/2002			02 CA 000794 (MP)
County Suit Filed in			Date of Final Disposition
St. Lucie			12/17/2009
Other Defendants Involved in this Claim
Cepeda, Giraldo E Giraldo E. Cepeda, MDPA Lawnwood Regional 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$84,330

All Other Loss Adjustment Expense Paid

$72,394

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Insured discussed claim with insurance company personnel and medical experts.

Updates

Date of Change:

7/12/2012 2:55:21 PM

Reason for Change:

State Report updated to reflect additional legal fees and expenses paid.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	72090	84330
All Other Loss Adjustment Expense Paid	67702	72394

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Court Case # 05-2011-CA-57373

Indemnity Paid: $45,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201574106
Claim Number :	38203
Date Submitted :	12/2/2015

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	DASSY		E	MAS-SLATTERY
Insurer Type		Street Address of Practice
Licensed		1581 Whitnam Dr.
City		State	Zip Code	County
Melbourne		FL	32904	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600939 08		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME74007		Pediatrics - Minor Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
HOLMES REGIONAL MEDICAL CENTER		100019
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
8/25/2010		7/21/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Appendicitis
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 diagnose appendicitis
Principal Injury Giving Rise To The Claim
Ruptured appendix
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
11/23/2011			05-2011-CA-57373
County Suit Filed in			Date of Final Disposition
Brevard			10/1/2015
Other Defendants Involved in this Claim
Osler Medical Holmes Regional 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/24/2015

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$45,000

Loss Adjust Expense Paid to Defense Counsel

$21,296

All Other Loss Adjustment Expense Paid

$9,309

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Risk management has counseled insured

Updates

Date of Change:

12/2/2015 11:48:29 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 10/1/15

Field Changed	Former Value	New Value
Date of Final Disposition	24-MAR-15	01-OCT-15

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Frequently Asked Questions

Does Dr. DASSY E MAS-SLATTERY, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DASSY E MAS-SLATTERY, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases