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Filing # 70420157 E-Filed 04/09/2018 12:43:55 PM
IN THE CIRCUIT COURT OF THE
NINTH JUDICIAL CIRCUIT IN AND
FOR ORANGE COUNTY, FLORIDA
2017-CA-004662-0
BELINDHA RUSSELL, as the Personal
Representative of the Estate of ROLAND L.
CAJUSTE, a deceased minor child, and on
behalf of MARIE O. CAJUSTE and
JOSEPH L. CAJUSTE, natural parents and
survivors to the Estate of ROLAND L.
CAJUSTE, a deceased minor child,
Plaintiff,
vs.
ADVENTIST HEALTH
SYSTEM/SUNBELT, INC., d/b/a
FLORIDA HOSPITAL EAST d/b/a
FLORIDA HOSPITAL ORLANDO,
FLORIDA HOSPITAL MEDICAL
GROUP, INC., d/b/a RADIOLOGY
SPECIALISTS OF FLORIDA,
PEDIATRIC CARE GROUP, P.A.,
FLORIDA EMERGENCY PHYSICANS
KANG & ASSOCIATES, M.D., INC.,
ALFREDO TIRADO GONZALEZ, M.D,
MIGUEL A. ACEVEDO-SEGUI, M.D.,
KIMBERLY R. BUFFKIN, M.D., DENNIS
A. HERNANDEZ, M.D., DOUGLAS M.
HAUS, M.D., LUIS R. CAMPIS
VAZQUEZ, M.D., KATARINA M.
NAMMOUR, ARNP, JANE C. COOK,
D.O.,
Defendants.
/
REQUEST FOR COPIES
COME NOW the Defendants, FLORIDA EMERGENCY PHYSICIANS KANG &
ASSOCIATES, M.D., INC.; ALFREDO TIRADO GONZALEZ, M.D.; MIGUEL A.
ACEVEDO-SEGUI, M.D.; KIMBERLY R. BUFFKIN, M.D.; DENNIS A. HERNANDEZ,
M.D.; DOUGLAS M. HAUS, M.D.; LUIS R.CAMPIS VAZQUEZ, M.D. and KATARINA M.
NAMMOUR, ARNP, by and through their undersigned counsel, pursuant to Rule 1.351(d),
Florida Rules of Civil Procedure, and hereby requests copies of the following documents obtained
through the Notice of Production from Non-Parties served on April 6, 2018, by Defendant,
PEDIATRIC CARE GROUP, P.A.:
1. OPTUM
75 Remittance Drive, Ste 6019
Chicago, IL 60675
2. Orange County Fire Rescue
P.O. Box 5879
Winter Park, FL 32793
3. Ccom Medical Group Pediatric
401 S. York Street
Muskogee, OK 74403
4. Minute Clinic, LLC
One CVS Drive, MC1165
Woonsocket, RI 02895
5. Modern Smiles Dentistry
13816 Narcoossee Rd., Ste B
Orlando, FL 32832
6. Ocean Dental
930 A. West Shawnee Street
Muskogee, OK 74401
7. Walgreen Healthcare Clinic
Attn: Medical Records
P.O. Box 691569
Orlando, FL 32819
8. CVS Caremark Privacy Office
One CVS Drive
Woonsocket, RI 02895
9. Express Scripts, Inc.
Records Department – Medical/Prescription
8931 Springdale Avenue, B402-01
Saint Louis, MO 63134
10. Publix Pharmacy
Attn: John Attaway
3300 Publix Corporate Parkway
Lakeland, FL 33811
11. Walgreens Company
1901 East Voorhees Street
Mail Stop 735
Danville, IL 61834
12. Walmart Corporate Office
Pharmacy Records Custoidan
702 SW 8th Street
Bentonville, AR 72716-8611
13. Winn Dixie Corporate Headquarters
c/o South Eastern Grocers
8928 Prominence Parkway, #200
Jacksonville, FL 32256
CERTIFICATE OF SERVICE
I hereby certify that on the 9th day of April, 2018, I electronically filed the foregoing
using the Florida Courts e-filing Portal which will send a notice of electronic filing to the
following parties: Maria D. Tejedor, Esquire, Diez-Arguelles & Tejedor, P.A., 505 N Mills Ave,
Orlando, FL 32803, mail@theorlandolawyers.com; keisha@theorlandolawyers.com;
gary@theorlandolawyers.com; J. Charles Ingram, Esquire, Estes, Ingram, Foels & Gibbs, P.A., PO
Box 4974, Orlando, FL 32802-4974, jci@eifg-law.com; pbp@eifg-law.com. Thomas E. Dukes,
III, Esquire, McEwan, Martinez, Dukes & Hall, P.A., Post Office Box 753, Orlando, FL 32802-
0753, tdukes@mmdorl.com; NOS@mmdorl.com; jklement@mmdorl.com.
s/ Patrick H. Telan
Patrick H. Telan,Esquire
Florida Bar No. 973874
John J. Tress, III, Esquire
Florida Bar No. 183751
Counsel for FLORIDA EMERGENCY
PHYSICIANS KANG & ASSOCIATES, M.D.,
INC.; ALFREDO TIRADO GONZALEZ, M.D.;
MIGUEL A. ACEVEDO-SEGUI, M.D.;
KIMBERLY R. BUFFKIN, M.D.; DENNIS A.
HERNANDEZ, M.D.; DOUGLAS M. HAUS,
M.D.; LUIS R.CAMPIS VAZQUEZ, M.D. and
KATARINA M. NAMMOUR, ARNP,
Grower, Ketcham, Eide, Telan & Meltz, P.A.
PO Box 538065
Orlando, FL 32853-8065
Phone: (407) 423-9545
Fax: (407) 425-7104
Email: phtelan@growerketcham.com
Email: jjtress@growerketcham.com
1st Secondary Email: enotice@growerketcham.com
2nd Secondary Email: cboals@growerketcham.com
: fbb
12944:1107
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Filing # 70420157 E-Filed 04/09/2018 12:43:55 PM IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR ORANGE COUNTY, FLORIDA 2017-CA-004662-0 BELINDHA RUSSELL, as the Personal Representative of the Estate of ROLAND L. CAJUSTE, a deceased minor child, and on behalf of MARIE O. CAJUSTE and JOSEPH L. CAJUSTE, natural parents and survivors to the Estate of ROLAND L. CAJUSTE, a deceased minor child, Plaintiff, vs. ADVENTIST HEALTH SYSTEM/SUNBELT, INC., d/b/a FLORIDA HOSPITAL EAST d/b/a FLORIDA HOSPITAL ORLANDO, FLORIDA HOSPITAL MEDICAL GROUP, INC., d/b/a RADIOLOGY SPECIALISTS OF FLORIDA, PEDIATRIC CARE GROUP, P.A., FLORIDA EMERGENCY PHYSICANS KANG & ASSOCIATES, M.D., INC., ALFREDO TIRADO GONZALEZ, M.D, MIGUEL A. ACEVEDO-SEGUI, M.D., KIMBERLY R. BUFFKIN, M.D., DENNIS A. HERNANDEZ, M.D., DOUGLAS M. HAUS, M.D., LUIS R. CAMPIS VAZQUEZ, M.D., KATARINA M. NAMMOUR, ARNP, JANE C. COOK, D.O., Defendants. / REQUEST FOR COPIES COME NOW the Defendants, FLORIDA EMERGENCY PHYSICIANS KANG & ASSOCIATES, M.D., INC.; ALFREDO TIRADO GONZALEZ, M.D.; MIGUEL A. ACEVEDO-SEGUI, M.D.; KIMBERLY R. BUFFKIN, M.D.; DENNIS A. HERNANDEZ, M.D.; DOUGLAS M. HAUS, M.D.; LUIS R.CAMPIS VAZQUEZ, M.D. and KATARINA M. NAMMOUR, ARNP, by and through their undersigned counsel, pursuant to Rule 1.351(d), Florida Rules of Civil Procedure, and hereby requests copies of the following documents obtained through the Notice of Production from Non-Parties served on April 6, 2018, by Defendant, PEDIATRIC CARE GROUP, P.A.: 1. OPTUM 75 Remittance Drive, Ste 6019 Chicago, IL 60675 2. Orange County Fire Rescue P.O. Box 5879 Winter Park, FL 32793 3. Ccom Medical Group Pediatric 401 S. York Street Muskogee, OK 74403 4. Minute Clinic, LLC One CVS Drive, MC1165 Woonsocket, RI 02895 5. Modern Smiles Dentistry 13816 Narcoossee Rd., Ste B Orlando, FL 32832 6. Ocean Dental 930 A. West Shawnee Street Muskogee, OK 74401 7. Walgreen Healthcare Clinic Attn: Medical Records P.O. Box 691569 Orlando, FL 32819 8. CVS Caremark Privacy Office One CVS Drive Woonsocket, RI 02895 9. Express Scripts, Inc. Records Department – Medical/Prescription 8931 Springdale Avenue, B402-01 Saint Louis, MO 63134 10. Publix Pharmacy Attn: John Attaway 3300 Publix Corporate Parkway Lakeland, FL 33811 11. Walgreens Company 1901 East Voorhees Street Mail Stop 735 Danville, IL 61834 12. Walmart Corporate Office Pharmacy Records Custoidan 702 SW 8th Street Bentonville, AR 72716-8611 13. Winn Dixie Corporate Headquarters c/o South Eastern Grocers 8928 Prominence Parkway, #200 Jacksonville, FL 32256 CERTIFICATE OF SERVICE I hereby certify that on the 9th day of April, 2018, I electronically filed the foregoing using the Florida Courts e-filing Portal which will send a notice of electronic filing to the following parties: Maria D. Tejedor, Esquire, Diez-Arguelles & Tejedor, P.A., 505 N Mills Ave, Orlando, FL 32803, mail@theorlandolawyers.com; keisha@theorlandolawyers.com; gary@theorlandolawyers.com; J. Charles Ingram, Esquire, Estes, Ingram, Foels & Gibbs, P.A., PO Box 4974, Orlando, FL 32802-4974, jci@eifg-law.com; pbp@eifg-law.com. Thomas E. Dukes, III, Esquire, McEwan, Martinez, Dukes & Hall, P.A., Post Office Box 753, Orlando, FL 32802- 0753, tdukes@mmdorl.com; NOS@mmdorl.com; jklement@mmdorl.com. s/ Patrick H. Telan Patrick H. Telan,Esquire Florida Bar No. 973874 John J. Tress, III, Esquire Florida Bar No. 183751 Counsel for FLORIDA EMERGENCY PHYSICIANS KANG & ASSOCIATES, M.D., INC.; ALFREDO TIRADO GONZALEZ, M.D.; MIGUEL A. ACEVEDO-SEGUI, M.D.; KIMBERLY R. BUFFKIN, M.D.; DENNIS A. HERNANDEZ, M.D.; DOUGLAS M. HAUS, M.D.; LUIS R.CAMPIS VAZQUEZ, M.D. and KATARINA M. NAMMOUR, ARNP, Grower, Ketcham, Eide, Telan & Meltz, P.A. PO Box 538065 Orlando, FL 32853-8065 Phone: (407) 423-9545 Fax: (407) 425-7104 Email: phtelan@growerketcham.com Email: jjtress@growerketcham.com 1st Secondary Email: enotice@growerketcham.com 2nd Secondary Email: cboals@growerketcham.com : fbb 12944:1107