Dr. MIGUEL MAS, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. MIGUEL MAS, MD

1301 Plantation Island Drive S., Suite 4

Indemnity Paid: $475,000.00

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		D	Collins
Street Address
4651 Salisbury Road, Suite 410
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 296 - 2887	214	(904) 296 - 1245	lcollins@fdinsurancecompany.com

Insured Information

Type	First Name		MI	Last Name
Individual	Miguel			Mas
Insurer Type		Street Address of Practice
Licensed		1301 Plantation Island Drive S., Suite 4
City		State	Zip Code	County
St. Augustine		FL	32080	St. Johns
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MG001234		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME52932		Pediatrics - No Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	St. Johns
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
FLAGLER HOSPITAL		100090
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
3/22/2012		7/12/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to this insured with complaints of fever, runny nose and one day of diarrhea.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Rx amoxicillin and Albuterol.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
Principal Injury Giving Rise To The Claim
Alleged failure to recognize and treat a severe viral illness.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			11/7/2014
Other Defendants Involved in this Claim

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
11/7/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$475,000

Loss Adjust Expense Paid to Defense Counsel

$29,619

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

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

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

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Does Dr. MIGUEL MAS, MD have any medical malpractice cases, lawsuits, or complaints?

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

Medical Malpractice Cases