Dr. HARIS I MIRZA, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. HARIS I MIRZA, MD

1315 South East 2th Loop #4

Ocala, FL

34471

Marion

Court Case # 12-1928-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201368425
Claim Number :	39807
Date Submitted :	1/17/2014

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Haris		I	Mirza
Insurer Type		Street Address of Practice
Licensed		321 SE 29th Place Ste. 101
City		State	Zip Code	County
Ocala		FL	34474	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601911 06		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME88195		Infectious Diseases - Minor Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
OCALA REGIONAL MEDICAL CENTER		100212
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
9/23/2009		12/22/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stevens-Johnson syndrome
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose Stevens-Johnson syndrome
Principal Injury Giving Rise To The Claim
Tissue loss
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/15/2012			12-1928-CA
County Suit Filed in			Date of Final Disposition
Marion			1/8/2014
Other Defendants Involved in this Claim
Ocala Infectious Disease & Wound Center Ocala Regional Medical Center Swaminathan, MD, Krishnaswamy HCA Inc. Amaravadi, MD, Kamalakar The Hospitalist Co.
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
9/4/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$67,294

All Other Loss Adjustment Expense Paid

$32,732

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$1,000,000	$0
Wage Loss	$0	$0
Other Expenses	$50,000	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

1/17/2014 10:39:16 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 01/08/14

Field Changed	Former Value	New Value
Date of Final Disposition	04-SEP-13	08-JAN-14

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Court Case # 2016-CA-000109

Indemnity Paid: $175,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201781504
Claim Number :	1033481-01
Date Submitted :	8/25/2017

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Haris		I	Mirza
Insurer Type		Street Address of Practice
Licensed		2651 SW 32nd Place
City		State	Zip Code	County
Ocala		FL	34471	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
696168		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME88195		Internal Medicine - Minor Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Marion
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
KINDRED HOSPITAL OCALA		23960060
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
9/25/2013		4/22/2016

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
infection of left foot following toe amputation acute renal failure symmetrical bilateral infiltrate
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Infectious disease consult antibiotics and wound care
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose and treat pneumonitis
Principal Injury Giving Rise To The Claim
Patient coded and died following CPR
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/8/2016			2016-CA-000109
County Suit Filed in			Date of Final Disposition
Marion			3/9/2017
Other Defendants Involved in this Claim
Infection Disease and Wond Center Inc Chundru, MD, Vittal Lamichhane MD, Komal Inpatient Consultants of Florida Inc Kindred Hospitals East LLC
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			Settled before trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/9/2017

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$175,000

Loss Adjust Expense Paid to Defense Counsel

$26,003

All Other Loss Adjustment Expense Paid

$6,641

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

n/a

Updates

Date of Change:

8/25/2017 1:51:33 PM

Reason for Change:

ALE UPDATE 8/25/2017

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	9845	26003
All Other Loss Adjustment Expense Paid	2964	6641

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Court Case #

Indemnity Paid: $117,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201886825
Claim Number :	1060256-01
Date Submitted :	10/25/2018

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Haris		I	Mirza
Insurer Type		Street Address of Practice
Licensed		2651 SW 32nd Place
City		State	Zip Code	County
Ocala		FL	34471	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
696168		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME88195		Internal Medicine - Minor Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Marion
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
12/9/2015		5/14/2018

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
left anterior chest wall mass with draining sinus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
incised/drained & cultured, referred to surgeon, medications, labs, x-rays, hyperbaric 02 treatment
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
delay in diagnosis & treatment for growth of mycobacterium kansasil, reported in 2016
Principal Injury Giving Rise To The Claim
worsening of infection and related surgeries and treatments
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			10/25/2018
Other Defendants Involved in this Claim
Ocala Infectious Disease and Wound Care Denter Inc Asokan MD, Rangaswamy
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/25/2018

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$117,500

Loss Adjust Expense Paid to Defense Counsel

$4,438

All Other Loss Adjustment Expense Paid

$1,910

Injured Person's Total Non-Economic Loss

$97,338

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

n/a

Updates

No updates found.

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

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Court Case # 05-2075-CAB

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200641964
Claim Number :	21669
Date Submitted :	1/16/2007

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Haris		I	Mirza
Insurer Type		Street Address of Practice
Licensed		1315 South East 2th Loop #4
City		State	Zip Code	County
Ocala		FL	34471	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601365 00		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME88195		Infectious Diseases - No Surgery		70401

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Marion
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
MUNROE REGIONAL MEDICAL CENTER		100062
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
7/3/2004		3/2/2005

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain, shortness of breath
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac catheterization
Diagnostic Code :		415.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to perform appropriate testing to diagnose patient's symptoms
Principal Injury Giving Rise To The Claim
Bilateral pulmonary emboli
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/10/2005			05-2075-CAB
County Suit Filed in			Date of Final Disposition
Marion			11/28/2006
Other Defendants Involved in this Claim
Mishra MD, Uday S Sunshine State Medical Clinic, PA
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
8/8/2006

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

$17,468

All Other Loss Adjustment Expense Paid

$16,640

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$567,610
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

1/16/2007 1:57:55 PM

Reason for Change:

Report updated to reflect Court Document final disposition date of 11/28/06.

Field Changed	Former Value	New Value
Date of Final Disposition	01-AUG-06	28-NOV-06

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Court Case # 12-555-CAG

Indemnity Paid: $95,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201369250
Claim Number :	38760
Date Submitted :	1/17/2014

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Haris		I	Mirza
Insurer Type		Street Address of Practice
Licensed		321 SE 29th Place Suite 101
City		State	Zip Code	County
Ocala		FL	34471	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601911 06		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME88195		Infectious Diseases - Minor Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Marion
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
Patients' Room
Date of Occurrence		Date Reported to Insurer
4/14/2011		9/23/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infection
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely communicate and discuss results of CT scan and advocate surgical intervention
Principal Injury Giving Rise To The Claim
Progression of infection
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/7/2012			12-555-CAG
County Suit Filed in			Date of Final Disposition
Marion			1/9/2014
Other Defendants Involved in this Claim
Bariatric & Laparoscopy Center of Ocala Shebani, MD, Khaled O Ocala Infectious Disease & Wound Center
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
12/4/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$95,000

Loss Adjust Expense Paid to Defense Counsel

$38,270

All Other Loss Adjustment Expense Paid

$14,366

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$100,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$125,000

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

1/17/2014 10:21:09 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 01/09/14

Field Changed	Former Value	New Value
Date of Final Disposition	04-DEC-13	09-JAN-14

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Frequently Asked Questions

Does Dr. HARIS I MIRZA, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. HARIS I MIRZA, MD has at least 5 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases