Dr. SAMUEL D KULICK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SAMUEL D KULICK, MD

9397 San Jose Blvd Ste 1

Indemnity Paid: $175,000.00

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	SAMUEL		D	KULICK
Insurer Type		Street Address of Practice
Licensed		9397 San Jose Blvd Ste 1
City		State	Zip Code	County
Jacksonville		FL	32257	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
799057		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Podiatric Physician
License Number		Specialty Code & Classification		Certification Number
PO3308

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
PLAZA SURGERY CENTER II		14960634
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
2/8/2016		10/11/2018

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
hallux abuctovalgus deformity of right foot
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
modified McBride bunionectomy surgery, right foot
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failed to preform appropriate diagnostic testing and treatment
Principal Injury Giving Rise To The Claim
recurrent hallux valgus and bunion deformity, additional surgery required
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
8/2/2018			2018-CA-5282
County Suit Filed in			Date of Final Disposition
Duval			10/25/2019
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
10/25/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$175,000

Loss Adjust Expense Paid to Defense Counsel

$22,690

All Other Loss Adjustment Expense Paid

$20,408

Injured Person's Total Non-Economic Loss

$97,000

Deductible

Injured Person's Total Economic Loss

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

n/a

Does Dr. SAMUEL D KULICK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SAMUEL D KULICK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases