Dr. DON J PEREZ ORTIZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DON J PEREZ ORTIZ, MD

4506 Wishart Place

Indemnity Paid: $25,000.00

Insurer Information

Insurer Name				Coverage Type
University Community Hospital				Primary
Insurer FEIN		Professional License Number
59-111390		4035
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Judith		A	Henderson
Street Address
900 Hope Way
City				State	Zip
Altamonte Springs				FL	32714
Phone	Ext	Fax	E-Mail Address
(407) 357 - 2292		(407) 975 - 1570	judith.henderson@ahss.org

Insured Information

Type	First Name		MI	Last Name
Individual	Don		J	Perez Ortiz
Insurer Type		Street Address of Practice
Self-Insurer		4506 Wishart Place
City		State	Zip Code	County
Tampa		FL	33603	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
Adhealth-2011		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME44991		Ophthalmology - 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
Physician's Office
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
10/17/2007		10/17/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cosmetic treatment for facial wrinkles
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged improper performance
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient unhappy with outcome
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
1/25/2011			10-CA-017464
County Suit Filed in			Date of Final Disposition
Hillsborough			8/27/2013
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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/27/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$25,000

Loss Adjust Expense Paid to Defense Counsel

$142,755

All Other Loss Adjustment Expense Paid

$92,868

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

N/A

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. DON J PEREZ ORTIZ, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DON J PEREZ ORTIZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).