Dr. FOUAD SHAMI, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. FOUAD SHAMI, MD

1901 SE 18th Avenue #300

Ocala, FL

34471

Marion

Court Case # 2010-CA-000023

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201160818
Claim Number :	09-08-0173-A
Date Submitted :	6/15/2011

Insurer Information

Insurer Name				Coverage Type
FD INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
20-3704679
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Linda			Collins
Street Address
4655 Salisbury Road, Suite 110
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 296 - 2887	214	(904) 296 - 8919	lcollins@fldic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Fouad			Shami
Insurer Type		Street Address of Practice
Licensed		1901 SE 18th Avenue #300
City		State	Zip Code	County
Ocala		FL	34471	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MG000585		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME20978		Surgery - Urological

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
LEESBURG REGIONAL MEDICAL CENTER		100084
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
1/12/2008		11/3/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to the ER complaining of nausea, chills, vomiting and right flank pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Labs and CT scan.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat patient's true condition.
Principal Injury Giving Rise To The Claim
Loss of fingers and toes due to sepsis.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/8/2010			2010-CA-000023
County Suit Filed in			Date of Final Disposition
Lake			5/24/2011
Other Defendants Involved in this Claim
Reddy, M.D., Movva Leesburg Regional Medical Center Simons, PA-C, Amy
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
5/6/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$500,000

Loss Adjust Expense Paid to Defense Counsel

$59,921

All Other Loss Adjustment Expense Paid

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

Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed the case with the Insured.

Updates

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Frequently Asked Questions

Does Dr. FOUAD SHAMI, MD have any medical malpractice cases, lawsuits, or complaints?

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