M200325036

Insurer Information

Insurer Name				Coverage Type
PRONATIONAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	ANTHONY			DAPORE
Street Address
13919 Carrollwood Village Run, Suite A
City				State	Zip
Tampa				FL	33624
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	ADapore@proassurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	JOSE		A	GAUDIER, M.D.
Insurer Type		Street Address of Practice
Licensed		1901 SOUTHEAST 18 AVENUE, BLDG. 400A
City		State	Zip Code	County
OCALA		FL	34471	Marion
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PNFL-1008645-00		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME0062091		Neurology - Including Child - No Surgery		00000

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

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

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
11/17/1997		8/19/1999

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Weakness of all four exremities.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in diagnosis and treatment of B12 deficiency.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient with cervical stenosis with compression and radiculopathy, also had B12 deficiency.
Principal Injury Giving Rise To The Claim
60 year old male with quadriparesis and urinary dysfunction secondary to combined system disease of cervical radiculopathy and B12 deficiency.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Legal Information

Date of Suit	Circuit Court Case Number
2/8/2000	00-144-CA-B
County Suit Filed in	Date of Final Disposition
Marion	5/28/2003
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision	Other
Judgment for the plaintiff.
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

$718,653

Loss Adjust Expense Paid to Defense Counsel

$181,577

All Other Loss Adjustment Expense Paid

$106,364

Injured Person's Total Non-Economic Loss

$718,653

Deductible

Injured Person's Total Economic Loss

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

Insured has discussed case with insurance company personnel, medical experts and defense counsel.

Updates

No updates found.