Department File Number : | M201987670 |
Claim Number : | 001 |
Date Submitted : | 1/21/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Toban, Mohamed M | Primary | ||||
Insurer FEIN | Professional License Number | ||||
00000000 | ME98765 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mohamed | M | Toban | ||
Street Address | |||||
P O Box 540579 | |||||
City | State | Zip | |||
Merritt Island | FL | 32954 | |||
Phone | Ext | Fax | E-Mail Address | ||
(321) 208 - 8361 | (615) 246 - 3964 | mtoban.lsc@gmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mohamed | M | Toban | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 6450 US Highway 1 | ||||
City | State | Zip Code | County | ||
Rockledge | FL | 32955 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
16-PA-005-AB-264 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME98765 | Internal Medicine - No Surgery | none |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
VIERA HOSPITAL | 23960092 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/16/2014 | 10/7/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Diabetic Ketoacidosis, Pyelocystitis, Severe Hypoglycemia, DM Type I, s/p Failed Kidney Transplant, ESRD. Patient discharged home. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Hypoglycemia after treatment with insulin while inpatient. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
none know | |||||
Principal Injury Giving Rise To The Claim | |||||
Hypoglycemic Encephalopathy while inpatient. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/14/2018 | 052016CA037910 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 8/14/2018 | ||||
Other Defendants Involved in this Claim | |||||
Health First Medical Group LLC Health First Viera Hospital | |||||
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 | |||||
9/17/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $325,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Review of policy. |
Updates | |
No updates found. |
Does Dr. MOHAMED M TOBAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MOHAMED M TOBAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).