| Department File Number : | M201576659 |
| Claim Number : | 59212601 |
| Date Submitted : | 12/23/2015 |
| 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 | Antrine | Long | |||
| Street Address | |||||
| 361 Hillsboro Blvd. | |||||
| City | State | Zip | |||
| Deerfield Beach | FL | 33441 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 788 - 5184 | (954) 944 - 1382 | along@picinsurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ROSANNA | L | GARNER | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2835 W De Leon Street | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33609 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 132540 | $500,000 | $1,500,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME64395 | Neurology - including child - no surgery - All Other | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | Nonapplicable | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/16/2010 | 7/28/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| PATIENT PRESENTED TO THE INSURED ON 8/16/2010 WITHCOMPLAINTS OF CONSTANT, SEVERE HEADACHES. THE INSUREDORDERED A CT AND MRI AND XRAY OF THE SPINE. PATIENT WASGIVEN PAIN MEDS AND HEADACHES IMPROVED. SHE WASINSTRUCTED TO FOLLOW UP WITH HER PRIMARY CARE PHYSICIANAND NEUROLOGIST | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| PATIENT UNDERWENT RADIATION AND CHEMOTHERAPY in 2012 after being diagnosed with a rare brain tumor. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| PATIENT WAS DIAGNOSEDWITH GLIOMATOSIS CEREBRI-A VERY RARE BRAIN TUMOR | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 11/24/2014 | 2014-CA-003262 MP | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 10/22/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Vincent Di Carlo, M.D. & Associates, P.A. Neurology and Physical Therapy Centers of Tampa Bay Adventist Health Systems Moskovitz, David Gatewat Radiology Consultants, P.A. | |||||
| 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 | |||||
| 11/30/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $44,292 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $40,548 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Non-applicable | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ROSANNA L GARNER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROSANNA L GARNER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).