Department File Number : | M201781038 |
Claim Number : | FP4422803 |
Date Submitted : | 2/2/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FIRST PROFESSIONALS INSURANCE COMPANY, INC | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-6614702 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Salma | Akhter | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 28135 Market Square | ||||
City | State | Zip Code | County | ||
Zephyrhills | FL | 33542 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FP-CL098659 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS8754 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pasco | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Florida Hospita Zephyrhills | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/18/2011 | 4/17/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Non-alcoholic Wernicke's encephalopathy with permanent neurologic impairment. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged delay in treating patient with history of Gastric bypass (January of 2012) with prolonged Thiamine deficiency. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Depression and psychiatric disorder. | |||||
Principal Injury Giving Rise To The Claim | |||||
Permanent neurological impairment from prolonged thiamine deficiency, non alcoholic Wernicke's Encephalopathy. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/30/2013 | 13-CA-013598 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 1/25/2017 | ||||
Other Defendants Involved in this Claim | |||||
Hone, MD, Victor Hanna, MD, Ayman Morton Plant Hospital Assoc. Ramos, MD, Ivan Shah, MD, Siddharth Feldman, MD, Alan Elkayam, MD, Ezra Town and Country Hospital Kiss, MD, Alexander Florida Hospital Zephyrhills | |||||
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 | |||||
1/25/2017 |
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 | $92,752 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $41,068 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
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Does Dr. SALMA AKHTER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SALMA AKHTER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).