Dr. FELIX JIMENEZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. FELIX JIMENEZ, MD

1402 OAKFIELD DR

Indemnity Paid: $75,000.00

Insurer Information

Insurer Name				Coverage Type
OMSNIC				Primary
Insurer FEIN		Professional License Number
36-3571664		50035
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Herling
Street Address
6133 N. River Road
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8748		(847) 653 - 8750	lynn.herling@omsnic.com

Insured Information

Type	First Name		MI	Last Name
Individual	FELIX			JIMENEZ
Insurer Type		Street Address of Practice
Self-Insurer		1402 OAKFIELD DR
City		State	Zip Code	County
BRANDON		FL	33511	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
21320		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN9639		Dentists		70211

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

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
10/19/1999		1/23/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
IMPACTED THIRD MOLARS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXTRACTION OF THIRD MOLARS
Diagnostic Code :		07230
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
INFECTION POST EXTRACTIONS
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
6/24/2002			02-05593
County Suit Filed in			Date of Final Disposition
Hillsborough			7/27/2005
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
Other			HUNG JURY
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/22/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$75,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

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

CONTINUED RISK MANAGEMENT SEMINARS

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

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Does Dr. FELIX JIMENEZ, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. FELIX JIMENEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).