Medical Malpractice Cases

Dr. MITZI BROCK, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address
Dr. MITZI BROCK, MD
11945 SAN JOSE BLVD
US

Court Case # 16-2012-CA-002005

Indemnity Paid: $136,100.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574982
Claim Number : 21009-1
Date Submitted : 6/18/2015
 
Insurer Information
 
Insurer Name Coverage Type
LANCET INDEMNITY RISK RETENTION GROUP INC. Primary
Insurer FEIN Professional License Number
26-1479165  
Insurer Contact Information
Type First Name MI Last Name
Individual Christopher   Teter
Street Address
2810 West St. Isabel Street Suite 100
City State Zip
Tampa FL 33602
Phone Ext Fax E-Mail Address
(813) 290 - 8282 265   cteter@lancetindemnity.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMitzi Brock
Insurer TypeStreet Address of Practice
Licensed11945 SAN JOSE BLVD
CityStateZip CodeCounty
JacksonvilleFL32223Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
LI091004001037$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78839Surgery - Obstetrics - Gynecology 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER SOUTH23960052
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
8/26/20093/12/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Claimant presented for the birth of her child that resulted in a vulvar hematoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged improper treatment of a vulvar hematoma.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged pain and numbness in the pelvic area.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/27/201216-2012-CA-002005
County Suit Filed inDate of Final Disposition
Duval6/18/2015
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/28/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$136,100
Loss Adjust Expense Paid to Defense Counsel$177,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$136,100$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NA
 
Updates
 
No updates found.

 

 

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

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Frequently Asked Questions

Does Dr. MITZI BROCK, MD have any medical malpractice cases, lawsuits, or complaints?

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

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