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Miami medical malpractice lawyer

Why which hospital treated you can decide what the claim is worth

Two patients can suffer the identical injury from the identical error in Miami and have claims worth wildly different amounts, because of where they were treated. If the provider is a governmental entity or its statutory agent, Fla. Stat. § 768.28 caps recovery at $200,000 per person and $300,000 per incident, and anything above that requires an act of the Legislature. If it is a private hospital, there is no such cap. Jackson Memorial is operated by the Public Health Trust of Miami-Dade County, which makes it a governmental provider — and under § 768.28(10)(f) the University of Miami physicians who practice there can be treated as its agents. The chapter 766 presuit process — the expert affidavit, the notice of intent, the 90-day period — is explained in full on the Florida medical malpractice page. What follows is the Miami-Dade County part.

Miami-Dade County crashes, 2024
60,000Florida Department of Highway Safety and Motor Vehicles
People injured
29,359In Miami-Dade County alone, in one year
People killed
272Down from 325 the year before
Cap against a public hospital
$200,000Per person, $300,000 per incident. More needs an act of the Legislature. § 768.28(5)

Quick answers about Miami medical malpractice claims

Does it matter which hospital treated me?
It can decide the value of the claim. A governmental provider is capped at $200,000 per person under § 768.28(5). A private hospital is not capped at all.
Is Jackson a public hospital?
Jackson Memorial is operated by the Public Health Trust of Miami-Dade County, a county entity, which brings it within § 768.28. The Jackson system includes Jackson South, Jackson North, Holtz Children’s and Ryder Trauma.
What if a resident or a university physician treated me?
Section 768.28(10)(f) can make a nonprofit medical school’s physicians agents of a government teaching hospital, which brings them inside the cap — but only on conditions, and those conditions are checkable.
What about the VA?
A federal facility is not a § 768.28 case at all. It runs under the Federal Tort Claims Act: an administrative claim on Standard Form 95 first, then suit in federal court, tried without a jury.
How long do I have?
Generally two years from when the incident was discovered or should have been discovered, with an outside limit of four years under § 95.11(5)(c). A claim against a governmental provider carries its own separate notice deadline on top of that.
Do I need an expert before I can file?
Yes. Section 766.203 requires a corroborating written opinion from a qualified medical expert before the notice of intent goes out. No affidavit, no case — which is why these take time to work up.
Can I get the hospital’s own incident records?
Amendment 7 to the Florida Constitution gives patients access to records of adverse medical incidents held by a provider. It is one of the few places Florida law favors the patient, and it is worth using early.

01 The law, once

Which Florida laws apply to a Miami medical malpractice claim

The rules are the same across Florida, so they are written out in full on one page rather than repeated here. They are explained on the statewide medical malpractice page, with the statute text linked.

Florida medical malpractice runs through chapter 766: a presuit investigation, a corroborating affidavit from a qualified expert under § 766.203, notice of intent, and a 90-day presuit period before suit can be filed. That process is the same statewide and is explained on the Florida medical malpractice page.

What is not the same is who you are suing. If the provider is a state agency or its agent, § 768.28 caps recovery at $200,000 per person and $300,000 per incident, requires its own written notice, and bars naming the employee personally. In Miami-Dade County that question turns on which institution treated you — and the answer is frequently counterintuitive. The deadline is generally two years from discovery with a four-year outside limit under § 95.11(5)(c), and where someone has died § 768.21(8) sharply restricts who may recover.

What follows is the part that is specific to Miami-Dade County — where these claims arise, where you will be treated, which courthouse the case goes to, and how the records are obtained.

02 The institutions

Where medical malpractice claims arise in Miami-Dade County

The single most consequential fact in a Miami-Dade County malpractice case is usually not what went wrong. It is where it happened, because that decides whether the claim is capped at $200,000 or not capped at all.

  • Jackson Memorial and the Public Health TrustA county entity, so § 768.28 applies: a $200,000 per-person limit and a separate presuit notice.
  • Ryder Trauma CenterThe county’s Level I trauma center, inside the Jackson structure, where the most serious injuries arrive.
  • Jackson South, Jackson North and Holtz Children’sAlso within the Jackson system, and analyzed the same way.
  • University of Miami Miller School physiciansSection 768.28(10)(f) can make them agents of the teaching hospital — on conditions set out in the affiliation agreement.
  • Baptist Health, Mount Sinai and the HCA hospitalsPrivate. No governmental cap, and the ordinary chapter 766 route.
  • The Miami VA Healthcare SystemFederal. The Federal Tort Claims Act, Standard Form 95, and a trial without a jury.
  • Florida Department of Health clinics in Miami-DadeGovernmental providers, so the § 768.28 analysis applies to them too.
  • Surgical centers and private practices countywideGenerally private, though who employed the physician still has to be established rather than assumed.

03 Who you are suing

Why the institution decides the value of a Miami malpractice claim

Before the medicine, the question is whether the defendant is a government.

Section 768.28(5) says the state and its agencies and subdivisions are not liable to pay a claim or judgment by any one person exceeding $200,000, or exceeding $300,000 for all claims arising out of one incident. A judgment can be entered for more, but the excess may be paid only by further act of the Legislature — a claim bill, which is a political process and not a legal remedy.

Section 768.28(9) also bars naming the employee personally for conduct within the scope of their employment, absent bad faith or malicious purpose or wanton and willful disregard. The exclusive remedy is against the entity.

In Miami-Dade this is not an abstract question. Jackson Memorial is operated by the Public Health Trust of Miami-Dade County, a county entity, and the Jackson system includes Jackson South, Jackson North, Holtz Children’s and Ryder Trauma — the county’s Level I trauma center, which receives a large share of its most serious injuries. Meanwhile Baptist Health, Mount Sinai and the HCA hospitals are private and carry no cap, and the Miami VA is federal and outside Florida law altogether.

None of this makes a capped case not worth bringing. It changes what the case is: how it is staffed, what it costs to work up, whether additional non-governmental defendants belong in it, and what a realistic outcome looks like. Knowing it at the start is the difference between a plan and a disappointment.

04 The teaching hospital rule

How a private medical school’s physicians end up inside the cap

This is the provision that surprises people, and it matters more in Miami than almost anywhere.

Section 768.28(10)(f) provides that a nonprofit independent college or university chartered in Florida that owns or operates an accredited medical school — and its employees or agents — is considered an agent of a teaching hospital while acting within the scope of and pursuant to the guidelines in an affiliation agreement or contract.

A teaching hospital for this purpose is one owned or operated by the state, a county or municipality, a public health trust, a special taxing district or another governmental entity with health care responsibilities — including a not-for-profit entity running such a facility as an agent of the state or a political subdivision under a lease or contract.

But the paragraph attaches conditions, and conditions can fail. The contract must require the college or university to indemnify the teaching hospital up to the chapter’s limits. It must state that the relevant parts of the school are acting on behalf of a public agency under § 119.011(2). And the teaching hospital or medical school must notify each patient, or their legal representative, that the exclusive remedy for a covered injury is an action under § 768.28 — a requirement that can be satisfied by posting a conspicuous notice.

So the affiliation agreement is a document to obtain and read, not a fact to accept. Whether the physician was acting within its scope, and whether the notice condition was met, are questions with answers.

05 The other deadline

The notice a claim against a public provider needs, and when

A malpractice claim against a governmental provider carries two separate presuit tracks, and missing either one ends it.

Chapter 766 requires the investigation, the corroborating expert affidavit under § 766.203, the notice of intent, and the 90-day presuit period.

Section 768.28(6) requires its own written notice to the appropriate agency — and, except for claims against a municipality or county, to the Department of Financial Services. The claim generally must be presented within 3 years after it accrues, and within 2 years for wrongful death.

Then a waiting period. Failure to make final disposition within 6 months is deemed a final denial — but for medical malpractice and wrongful death claims that period is 90 days, and the limitations period is tolled while it runs. Under § 768.28(14) suit must be brought within 4 years of accrual, with exceptions for malpractice and wrongful death actions.

This is why identifying the defendant early is not a formality. Treating a public provider as a private one for the first eighteen months is how a good case becomes a time-barred one.

06 Records

What to gather, and the one place Florida law favors the patient

Start with the complete chart, not the discharge summary. Request the full record including nursing notes, medication administration records, vital sign flow sheets, imaging and the actual images rather than the reports, and any electronic record audit trail showing who accessed what and when.

Then use Amendment 7. Article X, section 25 of the Florida Constitution gives patients a right of access to records of adverse medical incidents made or received by a health care facility or provider. It reaches material that would otherwise sit behind peer-review privilege, and it is among the strongest tools available in these cases.

And check licensure and discipline. The Florida Department of Health license verification system shows a practitioner’s license status and public discipline, and AHCA publishes facility-level information. A pattern is sometimes already on the record.

Do all of it before memories and staffing change. Residents rotate, travel nurses leave, and systems get upgraded. The chart is permanent; the people who can explain it are not.

07 Examples of situations

Situations this office sees in Miami-Dade County

The following are examples of the kinds of situations that arise in this county. They are illustrations of how the rules apply, not descriptions of past cases, and they do not predict any outcome. Every claim turns on its own facts, its own coverage and its own medical record.

  • Treated at a public hospital

    The § 768.28 cap and its separate notice deadline apply, and the employee cannot be named personally.

  • Treated by a medical school physician at a teaching hospital

    Section 768.28(10)(f) may make them an agent of the hospital — on conditions worth checking.

  • Treated at a private hospital

    No governmental cap. Ordinary chapter 766 practice, and the full range of damages.

  • Treated at a VA facility

    Federal Tort Claims Act, not Florida law. Form 95 first, then federal court, no jury.

  • A delayed or missed diagnosis

    The discovery rule matters here, and so does the four-year outside limit.

  • A death in the family

    Who may recover is governed by the Wrongful Death Act, and § 768.21(8) restricts it sharply in medical negligence.

08 The evidence

Evidence that exists here and often goes uncollected

Almost every camera that saw the crash overwrites itself within days or weeks. The difference between a disputed liability case and a straightforward one is usually whether someone asked for the footage while it still existed.

  • The complete medical record

    Nursing notes, medication records, flow sheets and the images themselves.

  • The electronic record audit trail

    Who accessed the chart, when, and what changed after the fact.

  • Adverse incident records under Amendment 7

    Reaches material peer-review privilege would otherwise cover.

  • The affiliation agreement, where a university physician is involved

    It is what § 768.28(10)(f) turns on, including the patient-notice condition.

  • Every billing statement

    Billing frequently identifies the actual employer of each provider.

  • License and discipline history

    Florida Department of Health verification, and AHCA facility records.

  • Your own timeline

    When symptoms began, when you were told what, and when you first suspected.

09 The report

What the first conversation should establish

Four things, and they are mostly factual rather than medical. Which institution treated you and in what capacity it was operating. Whether any physician involved was employed by a university, a staffing group or the hospital itself. The dates, including when you learned something had gone wrong. And whether anyone has already asked you to sign anything.

Bring whatever you already have: discharge paperwork, billing statements, appointment records, and the names of anyone you remember. Billing is often the fastest way to learn who actually employed each provider.

What it does not require is that you already know what went wrong. That is what the chapter 766 investigation and the expert review are for. What it requires is enough information to identify the right defendant before a deadline decides it for you.

10 The office

Where the Miami office is, and how to get there

DAPENALAW is at 5975 Sunset Drive, Suite 102, South Miami, FL 33143, open Monday to Friday, 08:30 to 17:00. The direct number is (305) 662-4323.

The office is on Sunset Drive in South Miami, a few blocks west of US-1 and close to the South Miami Metrorail station, with parking on site. A first conversation can happen by phone or video, and home and hospital visits are available when someone cannot travel.

You do not have to come in. The first conversation can be by phone or video, documents are handled electronically, and where an injury makes travel difficult the meeting happens where you are. The Sunset Drive office serves Miami-Dade generally, and most often South Miami, Coral Gables, Westchester, Kendall, Coral Terrace, Olympia Heights, West Miami, Sweetwater, Glenvar Heights, Pinecrest, Palmetto Bay, Cutler Bay, Coconut Grove, Little Havana, Hialeah and Doral.

More about the Miami office · All three offices

Miami medical malpractice questions, answered

Does it matter which Miami hospital treated me?

It can decide what the claim is worth, before anything about the medicine is considered.

Under Fla. Stat. § 768.28(5), the state and its agencies and subdivisions cannot be made to pay more than $200,000 to any one person, or $300,000 for all claims from one incident. A judgment can be entered above that, but the excess may be paid only by further act of the Legislature.

A private hospital carries no such cap. So the identical error can produce claims of very different value depending on where a person happened to be taken.

Is Jackson a public hospital?

Jackson Memorial is operated by the Public Health Trust of Miami-Dade County, which is a county entity. That brings it within § 768.28 and its $200,000 per person limit, its separate presuit notice, and the bar on naming an employee personally.

The Jackson system includes Jackson Memorial, Jackson South, Jackson North, Holtz Children’s Hospital and Ryder Trauma Center. Because Ryder is the county’s Level I trauma center, a large share of the most serious injuries in Miami-Dade are treated inside that structure.

The University of Miami Miller School of Medicine physicians who practice at Jackson are a separate question, governed by § 768.28(10)(f) and the affiliation agreement.

Private hospitals in the county — Baptist Health, Mount Sinai, the HCA facilities and others — carry no governmental cap at all.

A university physician treated me. Does the cap still apply?

It may, and this is the provision that surprises people most.

Section 768.28(10)(f) treats a nonprofit Florida-chartered college or university that owns or operates an accredited medical school, and its employees and agents, as agents of a teaching hospital while acting within the scope of and under the guidelines of an affiliation agreement.

But it attaches conditions. The contract must require the school to indemnify the hospital up to the chapter’s limits and must state that the relevant parts of the school act on behalf of a public agency under § 119.011(2). And the teaching hospital or medical school must notify each patient that the exclusive remedy is an action under § 768.28 — satisfiable by a conspicuous posted notice.

Those are checkable. Obtaining the affiliation agreement is a real step, not a formality.

What counts as a teaching hospital for that rule?

One owned or operated by the state, a county or municipality, a public health trust, a special taxing district, or another governmental entity with health care responsibilities.

It also covers a not-for-profit entity that runs such a facility as an agent of the state or a political subdivision under a lease or contract — which is why the operating structure of a particular hospital has to be looked at rather than assumed.

I was treated at a VA hospital. Is that the same?

No. A federal facility is outside Florida’s scheme entirely and runs under the Federal Tort Claims Act.

That means an administrative claim presented to the agency on Standard Form 95 before any lawsuit, a different limitations structure, suit in federal district court, and a trial to a judge rather than a jury.

The practical consequence is that the first step is different from day one, which is a reason to identify a federal provider immediately.

What notice does a claim against a public provider need?

Its own, separate from and additional to the chapter 766 presuit requirements.

Section 768.28(6) requires written notice to the appropriate agency and, except for claims against a municipality or county, to the Department of Financial Services. The claim generally must be presented within 3 years of accrual, and within 2 years for wrongful death.

Failure to make final disposition within 6 months is deemed a denial — but for medical malpractice and wrongful death that period is 90 days, and the limitations period is tolled while it runs.

Do I need a medical expert before filing?

Yes, and this is the step that makes these cases slow to start.

Section 766.203 requires a corroborating written medical expert opinion before the notice of intent is served, and § 766.102 sets who qualifies as an expert, generally requiring similar specialty and practice.

It is also why a firm cannot responsibly promise an outcome at the first call. The investigation comes first and sometimes it concludes there is no claim.

How long do I have?

Generally two years from when the incident was discovered or should have been discovered, with an outside limit of four years from the incident itself, under § 95.11(5)(c).

A claim involving a governmental provider carries the § 768.28(6) presentment deadlines on top of that, and they can expire first.

Because the discovery rule and the outside limit interact, a case that feels early can already be close to a deadline. That is a reason to have the dates looked at rather than estimated.

Can I see the hospital’s internal incident reports?

Often yes, which is unusual and useful.

Amendment 7 to the Florida Constitution, Article X section 25, gives patients a right of access to records of adverse medical incidents made or received by a health care facility or provider.

It reaches material that peer-review confidentiality would otherwise keep out, and requesting it early — before a dispute hardens — tends to produce more than requesting it late.

A family member died. Who can recover?

That is governed by the Wrongful Death Act, and in medical negligence it is sharply restricted.

Under § 768.21(8), in a claim for medical negligence an adult child cannot recover for lost parental companionship or mental pain and suffering, and the parents of an adult child cannot recover mental pain and suffering either.

That provision is still law. A repeal passed the Legislature in 2025 and was vetoed; HB 6003 passed the House 88–17 on January 15, 2026 and died in Senate Rules on March 13, 2026.

It is the first thing to check in such a case, because it can determine whether there is a recoverable claim at all.

Where would the case be filed?

At the Miami-Dade Circuit Court, 73 West Flagler Street — unless a federal provider is involved, which moves it to federal court.

What does it cost?

The first conversation costs nothing and commits you to nothing.

Injury cases are handled on a contingent attorney’s fee, meaning no attorney’s fee unless there is a recovery. Case expenses are governed by the written representation agreement, including who pays them if there is no recovery.

Medical malpractice expenses are higher than in most injury cases because of the expert review the statute requires, which is a reason to have that conversation explicitly.

Who will actually handle my case?

Jose A. Dapena. You deal with your attorney directly at every stage rather than through an intake department or a case manager.

He has practiced in Florida since 1998, Florida Bar number 152358. The early work in a malpractice case is identifying the right defendant and the right deadline, and that is done before anyone opines on the medicine.

11 Keep reading

This page is general information about Florida law, not legal advice about your case. Published by Jose A. Dapena, P.A. Last updated October 2026.

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