Dr. RAFAEL A COTT, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. RAFAEL A COTT, MD

2205 NW 40th Terrace Suite B

Indemnity Paid: $100,000.00

Insurer Information

Insurer Name				Coverage Type
PHYSICIANS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
13-4235490
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	s			j
Street Address
3200 ne 14th street
City				State	Zip
pompano beach				FL	33062
Phone	Ext	Fax	E-Mail Address
(954) 788 - 5473			claims@picinsurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	RAFAEL		A	COTT
Insurer Type		Street Address of Practice
Licensed		2205 NW 40th Terrace Suite B
City		State	Zip Code	County
Gainesville		FL	32605	Alachua
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
131342		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME81921		Internal Medicine - Minor Surgery		81921

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Nursing Home
Name of Institution		Code
NORTH FLORIDA REGIONAL MEDICAL CENTER		100204
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
9/3/2002		9/2/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient fainted and fell at home and fracture her left ankle at time of her fall.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
This practicioner was involved in the medical evaluation of the patient's fainting episode and the medical managment during he rehabilitation.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
A left below the knee amputation as a result of an aircast boot for the treatment of the left ankle fracture.
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
2/3/2004			0104CA406
County Suit Filed in			Date of Final Disposition
Alachua			1/10/2005
Other Defendants Involved in this Claim
Bush, M.D., Clinton G Orthopaedic Institute, P.A.
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
12/2/2004

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

$40,586

All Other Loss Adjustment Expense Paid

$24,580

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

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

Insured has been consulted by defense counsel & claims managment regarding the alleged issues in thi matter.

Updates

Date of Change:

10/14/2005 9:48:10 AM

Reason for Change:

corrections

Field Changed	Former Value	New Value
Date Injury Occurred	06-SEP-02	03-SEP-02
All Other Loss Adjustment Expense Paid	25470	24580
Date Injury Reported	03-SEP-03	02-SEP-03
Defendant Entity Name		Orthopaedic Institute, P.A.
No Other Defendants	1	0
Payment Date	14-DEC-04	02-DEC-04
Defendant Last Name		Bush, M.D., Clinton G
Date of Final Disposition	22-DEC-04	10-JAN-05

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

This page is not displaying certain sensitive information.

Does Dr. RAFAEL A COTT, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. RAFAEL A COTT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).