Department File Number : | M202092934 |
Claim Number : | 202014820 |
Date Submitted : | 7/9/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Del Rosario, Derrick P | Primary | ||||
Insurer FEIN | Professional License Number | ||||
64-3033929 | PA9108396 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Derrick | Del Rosario | |||
Street Address | |||||
724 Featherstone Ln | |||||
City | State | Zip | |||
Lake Mary | FL | 32746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 221 - 1494 | droc.delrosario@gmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Derrick | Del Rosario | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 3250 Zemke Ave | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33621 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
189062 | $1 | $1 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9108396 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | MacDill AFB | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | MacDill AFB | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/6/2017 | 4/9/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
patient resulted in her death from an intraparenchymal hemorrhage of the brain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient was seen 06 Oct 2017 with complaints of severe 10/10 pain headaches and sciatica. Low back pain was treated with Motrin and Lidoderm. In regards to the headache pain, the patient was advised to increase fluids, and alternate Motrin and Tylenol to control headache. Patient was released without limitations and to follow-up as needed. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The claimant alleged failure to properly diagnose, treat, or refer the patient resulted in her death from an intraparenchymal hemorrhage of the brain. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/10/2019 | MacDill AFB #19-9062 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 9/10/2019 | ||||
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 Decision | Other | ||||
Other | settlement | ||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $625,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $625,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $625,000 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
unsure what this means |
Updates | |
No updates found. |
Does Dr. DERRICK DEL ROSARIO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DERRICK DEL ROSARIO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).