Dr. MOHAMMEDKOMEL MOMIN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. MOHAMMEDKOMEL MOMIN, MD

1200 Riverplace Boulevard, Ste. #620

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	AUDRA		M	FLOYD
Street Address
13450 WEST SUNRISE BLVD
City				State	Zip
SUNRISE				FL	33323
Phone	Ext	Fax	E-Mail Address
(877) 320 - 0748	3111	(866) 636 - 5421	afloyd@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Mohammedkomel			Momin
Insurer Type		Street Address of Practice
Licensed		1200 Riverplace Boulevard, Ste. #620
City		State	Zip Code	County
Jacksonville		FL	32207	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0073440		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME112581		Hospitalists

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
SAINT VINCENT'S MEDICAL CENTER		100040
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
4/30/2013		7/20/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of being tired, weak, elevated blood sugar and renal failure.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured ordered physical therapy evaluation and discharged the patient home.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Ischemia/arterial occlusion of right lower extremity.
Principal Injury Giving Rise To The Claim
Below the knee amputation.
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			3/18/2016
Other Defendants Involved in this Claim
St. Vincent's Medical Center Magiera, MD, Holly
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
3/18/2016

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

$5,000

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

Unknown

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

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Does Dr. MOHAMMEDKOMEL MOMIN, MD have any medical malpractice cases, lawsuits, or complaints?

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

Medical Malpractice Cases