Medical Malpractice Cases

Medical Malpractice Cases In Lake County Florida

Dr. Ivan J Wortman Medical Malpractice Lawsuits - Court Case # 03CA3561

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640476
Claim Number :852271
Date Submitted :2/3/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPamelaAPrudlow
Street Address
5814 Reed Road
CityStateZip
Ft. WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0370 (260) 486 - 0785pamela.prudlow@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualIvanJWortman
Insurer TypeStreet Address of Practice
Licensed6129 Linneal Beach Drive
CityStateZip CodeCounty
ApopkaFL32703Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
H00218$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63259Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SOUTH LAKE HOSPITAL100051
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/2/20016/11/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of headache, shoulder & neck pain, fever & vomiting.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treatment for otitis media, cervical pain & functional stress headache.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose Pseudotumor Cerebri.
Principal Injury Giving Rise To The Claim
Permanent blindness.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/30/200303CA3561
County Suit Filed inDate of Final Disposition
Lake4/18/2006
Other Defendants Involved in this Claim
Emergency Physicians of Central Florida
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/18/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$44,347
All Other Loss Adjustment Expense Paid$19,033
Injured Person's Total Non-Economic Loss$0
Deductible$100,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$355,171
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change:2/3/2009 3:29:10 PM
Reason for Change:Update to legal fees & expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3054444347
All Other Loss Adjustment Expense Paid2773619033

 

 

This page is not displaying certain sensitive information.

Dr. Miguel Bryce Medical Malpractice Lawsuits - Court Case # 05-CA-1212

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747555
Claim Number :21299
Date Submitted :12/12/2007
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMiguel Bryce
Insurer TypeStreet Address of Practice
Licensed1879 Nightingale Lane
CityStateZip CodeCounty
TavaresFL32778Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600095 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME84628Surgery - Cardiovascular Disease73701

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL WATERMAN100057
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/26/20031/3/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sinus bradycardia with sinus arrest and ventricular escape rhythm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Implant dual chamber pacemaker
Diagnostic Code :353.8
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged improper placement of pacemaker lead
Principal Injury Giving Rise To The Claim
Stroke, hemiplegia, speech impairment, memory loss
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/25/200505-CA-1212
County Suit Filed inDate of Final Disposition
Lake11/26/2007
Other Defendants Involved in this Claim
Cardiovascular Associates of Lake County
Cardiovascular Associates of Central Florida
Medtronics, Inc.
Cacodcar, MD, Surexa S
Drummond, Douglas
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/30/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$92,672
All Other Loss Adjustment Expense Paid$31,704
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$0
Wage Loss$0$754,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:12/12/2007 1:07:49 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 11/26/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition18-OCT-0726-NOV-07

 

 

This page is not displaying certain sensitive information.

Dr. Srinivas Attanti Medical Malpractice Lawsuits - Court Case # 10-CA-1480

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159557
Claim Number :30701/32360
Date Submitted :3/25/2011
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSrinivas Attanti
Insurer TypeStreet Address of Practice
Licensed308 W. Highland Blvd.
CityStateZip CodeCounty
InvernessFL34452Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602338 01$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME90705Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
12/3/20076/10/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Carotid artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Doppler study
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform and interpret carotid artery Doppler study
Principal Injury Giving Rise To The Claim
Stroke
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/19/201010-CA-1480
County Suit Filed inDate of Final Disposition
Lake2/3/2011
Other Defendants Involved in this Claim
Hinkle, Ken
Citrus Cardiology 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/6/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$23,178
All Other Loss Adjustment Expense Paid$9,884
Injured Person's Total Non-Economic Loss$800,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$124,328$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:3/25/2011 2:38:28 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 02/03/11
 
Field ChangedFormer ValueNew Value
Date of Final Disposition06-JAN-1103-FEB-11

 

 

This page is not displaying certain sensitive information.

Dr. Todd Ginestra Medical Malpractice Lawsuits - Court Case # 13-CA-3156

Indemnity Paid: $875,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574384
Claim Number : 7030062378
Date Submitted : 4/23/2015
 
Insurer Information
 
Insurer Name Coverage Type
LANDMARK AMERICAN INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
73-0994137  
Insurer Contact Information
Type First Name MI Last Name
Individual Jim   Dapolite
Street Address
945 East Paces Ferry Rd, Suite 1800
City State Zip
Atlanta GA 30326
Phone Ext Fax E-Mail Address
(404) 682 - 7683   (404) 262 - 4437 jdapolite@rsui.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTodd Ginestra
Insurer TypeStreet Address of Practice
Licensed757 CR 466
CityStateZip CodeCounty
Lady LakeFL32159Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
LHM735011$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME110377Surgery - Plastic 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
1/29/20132/8/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for elective ADN cosmetic liposuction surgery to her abdomen, neck, and jowls.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured performed a liposuction procedure known as Smartlipo to the patients abdomen, neck, and jowls.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient alleges that the physician failed to administer preoperative or post-operative antibiotics, resulting in development of an abdominal infection. The patient additionally alleges the physician failed to properly assess or treat the patient post operatively.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/7/201413-CA-3156
County Suit Filed inDate of Final Disposition
Lake4/9/2015
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$875,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$124,978
Injured Person's Total Non-Economic Loss$0
Deductible$5,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Not known.
 
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.

Dr. Nicholai Zelneronok Medical Malpractice Lawsuits - Court Case # 2013-CA-002314

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470505
Claim Number :43575
Date Submitted :7/11/2014
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNicholai Zelneronok
Insurer TypeStreet Address of Practice
Licensed13 Sanchez Avenue
CityStateZip CodeCounty
Saint AugustineFL32084St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1411245 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME34231Surgery - Urological 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/3/20111/7/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lung cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to follow-up on pre-procedure chest x-ray
Principal Injury Giving Rise To The Claim
Lung cancer
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/31/20132013-CA-002314
County Suit Filed inDate of Final Disposition
Lake5/19/2014
Other Defendants Involved in this Claim
Central Florida Urology Specialists
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/3/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$19,399
All Other Loss Adjustment Expense Paid$10,970
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$0
Wage Loss$0$50,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:7/11/2014 10:51:16 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 05/19/14
 
Field ChangedFormer ValueNew Value
Date of Final Disposition03-APR-1419-MAY-14

 

 

This page is not displaying certain sensitive information.

Dr. Eze D Uche Medical Malpractice Lawsuits - Court Case # 2014-CP-00040

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573528
Claim Number : 47975
Date Submitted : 3/27/2015
 
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   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEzeDUche
Insurer TypeStreet Address of Practice
Licensed1020 N. Blvd. E.
CityStateZip CodeCounty
LeesburgFL34748Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601962 08$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73420Cardiovascular Disease - Minor Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/23/20133/20/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right heart failure and aortic stenosis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat incompetent artifical mitral and aortic valves
Principal Injury Giving Rise To The Claim
Right heart failure and aortic stenosis
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/26/20142014-CP-00040
County Suit Filed inDate of Final Disposition
Lake3/17/2015
Other Defendants Involved in this Claim
Cardiovascular Institute PA
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/10/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$14,141
All Other Loss Adjustment Expense Paid$14,738
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$15,477$50,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:3/27/2015 11:15:49 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 3/17/15
 
Field ChangedFormer ValueNew Value
Date of Final Disposition10-FEB-1517-MAR-15

 

 

This page is not displaying certain sensitive information.

Dr. Ivan J Wortman Medical Malpractice Lawsuits - Court Case # 03CA3561

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640477
Claim Number :860861
Date Submitted :5/4/2006
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Excess
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPamelaAPrudlow
Street Address
5814 Reed Road
CityStateZip
Ft. WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0370 (260) 486 - 0785pamela.prudlow@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualIvanJWortman
Insurer TypeStreet Address of Practice
Licensed6129 Linneal Beach Drive
CityStateZip CodeCounty
ApopkaFL32703Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
H00219$7,000,000$7,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63259Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SOUTH LAKE HOSPITAL100051
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/2/20016/11/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of headache, shoulder & neck pain, fever & vomiting.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treatment for otitis media, cervical pain & functional stress headache.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose Pseudotumor Cerebri.
Principal Injury Giving Rise To The Claim
Permanent blindness.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/30/200303CA3561
County Suit Filed inDate of Final Disposition
Lake4/18/2006
Other Defendants Involved in this Claim
Emergency Physicians of Central Florida
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/18/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$355,171
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Mark D Jacobson Medical Malpractice Lawsuits - Court Case # 2004-CA-366

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746961
Claim Number :18523
Date Submitted :9/17/2007
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarkDJacobson
Insurer TypeStreet Address of Practice
Licensed801 East Dixie Avenue #104
CityStateZip CodeCounty
LeesburgFL34748Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600001 04$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67158Radiology - Diagnostic - Minor Surgery3605

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEESBURG REGIONAL MEDICAL CENTER100084
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
7/23/20039/16/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right superficial femoral arterial occlusive disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Percutaneous angioplasty
Diagnostic Code :1942.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage patient after angioplasty
Principal Injury Giving Rise To The Claim
Petroperitoneal hematoma and extravasation
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/28/20042004-CA-366
County Suit Filed inDate of Final Disposition
Lake8/10/2007
Other Defendants Involved in this Claim
Paymani, MD, Mahrad
Hessami, MD, Miratiqullah
Radiology Associates of Central Florida
Central Florida Health Care Development Corp.
Leesburg Regional Medial Center
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/7/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$101,501
All Other Loss Adjustment Expense Paid$36,134
Injured Person's Total Non-Economic Loss$750,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$70,000$0
Wage Loss$0$250,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. RAYMOND COLOM Medical Malpractice Lawsuits - Court Case # 11CA3441

Indemnity Paid: $700,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264452
Claim Number :472
Date Submitted :7/30/2012
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJaclynSAdler
Street Address
9300 NW 14th Street
CityStateZip
Pembroke PinesFL33024
PhoneExtFaxE-Mail Address
(954) 559 - 3131 (954) 431 - 8388Jadjuster2@aol.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRAYMOND COLOM
Insurer TypeStreet Address of Practice
Licensed600 East Dixie Avenue
CityStateZip CodeCounty
Leesburg FL34748Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1064385823-5$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70197Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LEESBURG REGIONAL MEDICAL CENTER100084
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/19/20107/1/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
7-month old male with a history of a chromosomal deficiency, Glutaric Acidemia Type I (GA-I), was brought to the ED of Leesburg Regional Medical Center by his mother who reported vomiting since the previous day and a fever the previous day.He was discharged with diagnoses of vomiting and possible viral illness.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was no operation, diagnostic, or treatment procedure that caused an injury.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis.
Principal Injury Giving Rise To The Claim
A 7-month old male with a history of a chromosomal deficiency, Glutaric Acidemia Type I (GA-I), was brought to the ED of Leesburg Regional Medical Center by his mother who reported vomiting since the previous day and a fever the previous day. The child was seen in the ED by Raymond Colom, MD and when his shift ended, care was taken over by another physician, who discharged the patient with clinical impressions of (1) Vomiting (2) Possible Viral illness.The following day, the child was seen at another hospital with lethargy and hypotonia.He was then transferred to a tertiary children's hospital for treatment. There he was additionally diagnosed with encephalopathy and seizures.He was discharged on 3/24/10.The child suffered damage to the basil ganglia of his brain resulting in severe developmental delays.It was alleged that these damages were due to delays in treatment of the GA-1. There was a dispute over whether or not the patient's mother providedDr. Colom (and the physician who saw the child after Dr. Colom went off-duty) with an "Emergency Medical Protocol" form that explained the child's GA-1 condition and the treatment protocols that were required for him.The claim was disputed.A compromise settlement was reached without admission of liability.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/16/201111CA3441
County Suit Filed inDate of Final Disposition
Lake7/19/2012
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/19/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$700,000
Loss Adjust Expense Paid to Defense Counsel$5,614
All Other Loss Adjustment Expense Paid$2,122
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
unknown
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Yin Luk Medical Malpractice Lawsuits - Court Case # 2013-CA-001734

Indemnity Paid: $700,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201369238
Claim Number :301662
Date Submitted :12/18/2013
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualYin Luk
Insurer TypeStreet Address of Practice
Licensed601 East Dixie Avenue Suite 801
CityStateZip CodeCounty
LeesburgFL34748Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0615277$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME101492Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
11/11/201112/20/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient underwenta cholesystectomy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged injury to patient's bile duct system during cholesystectomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged injury to patient's bile duct system during cholesystectomy.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/4/20132013-CA-001734
County Suit Filed inDate of Final Disposition
Lake12/11/2013
Other Defendants Involved in this Claim
Leesburg Regional Medical Center
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 DecisionOther
OtherVoluntary Dismissal
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/6/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$700,000
Loss Adjust Expense Paid to Defense Counsel$27,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$600,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
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.

View All Medical Malpractice Cases In Lake County Florida
Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton