Dr. SERGIO LI, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SERGIO LI, MD

820 Prudential Drive, Suite 713

Indemnity Paid: $20,000.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle, Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813			cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Sergio			Li
Insurer Type		Street Address of Practice
Licensed		820 Prudential Drive, Suite 713
City		State	Zip Code	County
Jacksonville		FL	32207	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600109 02		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
FL47602		Emergency Medicine - No Major Surgery		267293915

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
BAPTIST MEDICAL CENTER - BEACHES		100117
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
8/22/2002		11/13/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Peptic ulcer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempt to establish IV
Diagnostic Code :		949.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged deviation in standard of care in using vaginal speculum light to assist in establishing IV
Principal Injury Giving Rise To The Claim
Second and third degree burns to hands and feet.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
6/23/2003			2003-CA-004082
County Suit Filed in			Date of Final Disposition
Duval			6/25/2004
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
6/25/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$20,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$20,000

Deductible

$20,000

Injured Person's Total Economic Loss

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

Risk Management has counseled insured.

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Does Dr. SERGIO LI, MD have any medical malpractice cases, lawsuits, or complaints?

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