Department File Number : | M201885913 |
Claim Number : | C166631 |
Date Submitted : | 7/12/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ADMIRAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
22-2235730 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Padilla | |||
Street Address | |||||
1000 Howard Blvd, Ste. 300 | |||||
City | State | Zip | |||
Mount Laurel | NJ | 08054 | |||
Phone | Ext | Fax | E-Mail Address | ||
(856) 505 - 8115 | dpadilla@admiralins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Efrain | E | Coronado | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1150 South Sermoran Blvd., Suite D | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32807 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EO000031693-01 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME65229 | Radiology - Diagnostic - No Surgery |
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 | ||||
Other Outpatient Facility | Diagnostic Facility | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Mid Florida Imaging | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/12/2012 | 7/15/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Insured was asked to interpret an abdominal CT scan by the patient¿s family doctor. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Abdominal CT scan interpretation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
It is alleged that the insured misread an abdominal CT scan resulting in failure to timely diagnose and treat liver cancer. | |||||
Principal Injury Giving Rise To The Claim | |||||
It is alleged that the insured misread an abdominal CT scan resulting in failure to timely diagnose and treat liver cancer. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/7/2016 | 2016-ca-010900-0 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 3/18/2018 | ||||
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 | |||||
3/26/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,331 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $5,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None |
Updates | |
No updates found. |
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Does Dr. EFRAIN E CORONADO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EFRAIN E CORONADO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).