Dr. SAM STIEGLITZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SAM STIEGLITZ, MD

1305 S. Ft. Harrison Avenue, Suite A

Indemnity Paid: $5,000.00

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Sam			Stieglitz
Insurer Type		Street Address of Practice
Licensed		1305 S. Ft. Harrison Avenue, Suite A
City		State	Zip Code	County
Clearwater		FL	33756	Pinellas
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
6506		$1,500,000		$4,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME33707		Dermatology - Minor Surgery		80282

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
4/14/2000		4/18/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Basal cell carcinoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Asministration of local anesthesia.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
n/a
Principal Injury Giving Rise To The Claim
Aggravation of pre-existing neck injuries.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
9/24/2002			02-6965CA-15
County Suit Filed in			Date of Final Disposition
Pinellas			10/13/2004
Other Defendants Involved in this Claim

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
10/13/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$5,000

Loss Adjust Expense Paid to Defense Counsel

$17,439

All Other Loss Adjustment Expense Paid

$11,746

Injured Person's Total Non-Economic Loss

$5,000

Deductible

Injured Person's Total Economic Loss

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

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Does Dr. SAM STIEGLITZ, MD have any medical malpractice cases, lawsuits, or complaints?

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