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DEPARTMENT OF HEALTH, BOARD OF MEDICINE vs LEONARD ABRAHAM RUBINSTEIN, M.D., 09-005270PL (2009)

Court: Division of Administrative Hearings, Florida Number: 09-005270PL Visitors: 9
Petitioner: DEPARTMENT OF HEALTH, BOARD OF MEDICINE
Respondent: LEONARD ABRAHAM RUBINSTEIN, M.D.
Judges: SUSAN BELYEU KIRKLAND
Agency: Department of Health
Locations: Sarasota, Florida
Filed: Sep. 25, 2009
Status: Closed
Recommended Order on Tuesday, February 1, 2011.

Latest Update: Nov. 09, 2011
Summary: The issues in these cases are whether Respondent violated sections 458.331(1)(t), 458.331(1)(m), and 458.331(1)(n), Florida Statutes (2004), and section 458.331(1)(t), Florida Statutes (2006), and, if so, what discipline should be imposed.Doctor's surgery hours were excessive for cosmetic procedures; doctor recommended and scheduled unnecessary surgery; and doctor used undue influence to get patient to undergo unneccessary allergy testing.
09005267 AFO


Final Order No. DOH-11-748- foP-MQA FILED DATE- \.\-\\ -2b\\

Department of Health


By:S:::0 \

0

STATE OF FLOR.IDA,.". BOARD OF M ED!CiNE

Deputy Agency Clerk


DEPARTMENT OF HEALTH,


Petitioner,


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·,::,;·1 1 .,·-\;,, '

vs.

DO H:'CA1tS; NOS.: 2005-53222

2006-01705

2006-27634

DOAH CASE NO.: 09-5267PL

09-5269PL

09-5270PL LICENSE NO.: ME0037720


LEONARD ABRAHAM RUBINSTEIN, M.D.,


Respondent.

I


FINAL ORDER


THIS CAUSE came before the BOARD OF MEDICINE (Board) pursuant to Sections 120.569 and 120.57(1), Florida Statutes, on April 1, 2011, in Tampa, Florida, for the purpose of considering the Administrative Law Judge's Recommended Order, Exceptions to the Recommended Order, and Response to Exceptions to the Recommended Order (copies of which are attached hereto as Exhibits A, B, and C, respectively) in the above-styled cause.

Petitioner was represented by Sharmin Hibbert, Assistant General Counsel. Respondent was present and represented by Steven Lubell, Esquire.

Upon review of the Recommended Order, the argument of the parties, and after a review of the complete record in this case, the Board makes the following findings and conclusions.

RULING ON EXCEPTIONS


The Board reviewed and considered the Respondent's Exceptions to the Recommended Order and ruled as follows:

  1. Respondent's first exception to paragraph 22 (encompassing par?graphs 5 - 12 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  2. Respondent's second exception to paragraphs 38 and 39 (encompassing paragraphs 13 - 18 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  3. The Respondent's third exception to paragraph 67 (encompassing paragraphs 19 - 22 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  4. The Respondent's fourth exception to paragraph 88 (encompassing paragraph 23 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.


    2

  5. The Respondent's fifth exception to paragraph 89 (encompassing paragraph 24 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  6. The Respondent's sixth exception to paragraph 90 (encompassing paragraphs 27 - 29 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  7. The Respondent's seventh exception to paragraph 91 (encompassing paragraphs 30 - 32 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  8. The Respondent's eighth exception to paragraph 102 (encompassing paragraphs 33 - 34 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  9. The Respondent's ninth exception also to paragraph 102 (encompassing paragraph 35 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  10. The Respondent's tenth exception again to paragraph 102 (encompassing paragraph 36 of exhibit B) of the Recommended


    3



    Order is denied for the reasons set forth in writing and stated by the Petitioner.

  11. The Respondent's eleventh exception to paragraph 105 (encompassing paragraph 43 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

  12. The Respondent's twelfth exception to paragraph 107 (encompassing paragraph 44 of exhibit B) of the Recommended Order is denied for the reasons set forth in writing and stated by the Petitioner.

FINDINGS OF FACT


  1. The findings of fact set forth in the Recommended Order are approved and adopted and incorporated herein by reference.

  2. There is competent substantial evidence to support the findings of fact.

CONCLUSIONS OF LAW


  1. The Board has jurisdiction of this matter pursuant to Section 120.57(1), Florida Statutes, and Chapter 458, Florida Statutes.

  2. The conclusions of law set forth in the Recommended Order are approved and adopted and incorporated herein by reference.


4



PENALTY


Upon a complete review of the record in this case, the Board determines that the penalty recommended by the Administrative Law Judge be ACCEPTED. WHEREFORE, IT IS HEREBY ORDERED AND ADJUDGED:

DOAH Case No. 09-5267PL


  1. Finding that Dr. Rubinstein violated section 458.331(1)(t), Florida Statutes (2004);

  2. Finding that Dr. Rubinstein did not violate sections 458.331(1)(m) and 458.331(1)(n);

  3. Revoking Dr. Rubinstein's license; and


  4. Imposing a $10,000 administrative fine.


Said fine shall be paid by money order or cashier's check.


DOAH Case No. 09-5269PL


  1. Finding that Dr. Rubinstein violated sections 458.331(1)(m), 458.331(1)(n), and 458.331(1) (t);

  2. Requiring Dr. Rubinstein to pay C.L. $2,921 for the allergy testing and the Rotation Diet;

  3. Revoking Dr. Rubinstein's license; and


  4. Imposing an administrative fine of $10,000. Said fine shall be paid by money order or cashier's check.

DOAH Case No. 09-5270PL


  1. Finding that Dr. Rubinstein violated section

    5


    458.331(1)(t), Florida Statutes (2006);


  2. Revoking Dr. Rubinstein's license; and


  3. Imposing a $10,000 administrative fine. Said fine shall be paid by money order or cashier's check.

RULING ON MOTION TO ASSESS COSTS


The Board reviewed the Petitioner's Motion to Assess Costs and imposes the costs associated with this case in the amount of

$98,856.70. Said costs are to be paid within 30 days from the date this Final Order is filed. The costs shall be paid by money order or cashier's check.

(NOTE: SEE RULE 64B8-8.0011, OTHERWISE SPECIFIED BY FINAL REQUIREMENTS FOR PERFORMANCE FINAL ORDER.)

FLORIDA ADMINISTRATIVE CODE. UNLESS ORDER, THE RULE SETS FORTH THE

OF ALL PENALTIES CONTAINED IN THIS

2011.

DONE AND ORDERED this e-~•----


day of


For Chizner, NOTICE OF RIGHT TO JUDICIAL REVIEW

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW PURSUANT TO SECTION 120.68, FLORIDA STATUTES. REVIEW PROCEEDINGS ARE GOVERNED BY THE FLORIDA RULES OF APPELLATE PROCEDURE. SUCH PROCEEDINGS ARE COMMENCED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF THE DEPARTMENT OF HEALTH AND A SECOND COPY, ACCOMPANIED BY FILING FEES PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL, FIRST DISTRICT, OR WITH THE DISTRICT COURT OF APPEAL IN

6


THE APPELLATE DISTRICT WHERE THE PARTY RESIDES. THE NOTICE OF APPEAL MUST BE FILED WITHIN THIRTY (30) DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.


CERTIFICATE OF SERVICE


I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been provided by Certified Mail to LEONARD ABRAHAM RUBINSTEIN, M.D., 1805 Siesta Drive, Sarasota,

Florida 34239; by email to Steven Lubell, Esquire, Lubell & Rosen, at sll@lubellrosen.com; to Susan B. Harrell, Administrative Law Judge, Division of Administrative Hearings, The DeSoto Building, 1230 Apalachee Parkway, Tallahassee, Florida 32399-3060; and by interoffice delivery to Veronica

Donnelly, Department of Health, 4052 Bald Cypress Way, Bin #C­

65, Tallahassee, Florida 32399-3253 this l \f-l- day of

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7


Docket for Case No: 09-005270PL
Issue Date Proceedings
Nov. 09, 2011 Respondent's Exhibits (exhibits not available for viewing)
Apr. 12, 2011 Agency Final Order filed.
Feb. 03, 2011 Transmittal letter from Claudia Llado forwarding Subpoena Duces Tecum with attachments to the agency.
Feb. 01, 2011 Recommended Order cover letter identifying the hearing record referred to the Agency.
Feb. 01, 2011 Recommended Order (hearing held August 24-26, 2010). CASE CLOSED.
Oct. 14, 2010 (Petitioner's) Proposed Recommended Order filed.
Oct. 14, 2010 Respondent, Leonard A. Rubenstein, M.D.'s, Proposed Recommended Order filed.
Sep. 28, 2010 Order Granting Extension of Time and Extending the Page Limit of the Proposed Recommended Orders.
Sep. 28, 2010 Petitioner's Motion to Extend the Page Limit for the Proposed Reommended Order and Response to Respondent's Motion for Extension of Time filed.
Sep. 27, 2010 Motion for Extension of Time filed.
Sep. 23, 2010 Transcript of Proceedings (volume I and II) filed.
Sep. 22, 2010 Transcript of Proceedings (volume III and IV) filed.
Sep. 21, 2010 Transcript of Proceedings (volume V and VI) filed.
Aug. 24, 2010 CASE STATUS: Hearing Held.
Aug. 23, 2010 Order Granting Motion for Official Recognition.
Aug. 20, 2010 CASE STATUS: Motion Hearing Held.
Aug. 16, 2010 Joint Pre-hearing Stipulation filed.
Aug. 13, 2010 Order on Motions in Limine.
Aug. 13, 2010 Notice of Filing Respondent's Supplemental Response to Petitioner's Request for Production.
Aug. 12, 2010 CASE STATUS: Motion Hearing Held.
Aug. 12, 2010 Petitioner's Motion for Official Recognition filed.
Aug. 12, 2010 Petitioner's Response to Respondent's Motion in Limine filed.
Aug. 10, 2010 Respondent, Leonard Rubinsetin, M.D.'s Motions in Limine filed.
Aug. 10, 2010 Request for Telephonic Motion Hearing filed.
Aug. 10, 2010 Order Denying Motion to Bifurcate.
Aug. 10, 2010 CASE STATUS: Motion Hearing Held.
Aug. 09, 2010 Notice of Appearance (filed by S. Lubell).
Aug. 09, 2010 Petitioner's Response in Opposition to Respondent's Motion to Bifurcate filed.
Aug. 05, 2010 Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production.
Aug. 05, 2010 Motion to Bifurcate filed.
Aug. 05, 2010 Request for Telephonic Motion Hearing filed.
Aug. 05, 2010 Notice of Appearance (filed by M. Rosen).
Aug. 02, 2010 Notice of Filing Respondent's Supplemental Response to Petitioner's Interogatories and Request for Production filed.
Jul. 30, 2010 Amended Notice of Taking Deposition Duces Tecum (of D. Dedo) filed.
Jul. 30, 2010 Notice of Taking Deposition Duces Tecum (Douglas Dedo) filed.
Jun. 07, 2010 Notice of Taking Deposition (Dr. Frank Steig) filed.
Jun. 02, 2010 Order on Motion to Set a Reasonable Expert Witness Fee for Deposition.
May 28, 2010 Amended Notice of Taking Deposition Duces Tecum (Amy Budoff) filed.
May 24, 2010 Notice of Taking Deposition (Dr. Michael Pacin) filed.
May 06, 2010 Notice of Telephonic Motion Hearing.
May 03, 2010 Subpoena Duces Tecum (Hugh Windone M.D.) (attachments not available for viewing) filed.
Apr. 28, 2010 Motion to Set a Reasonable Expert Witness Fee for Deposition filed.
Apr. 28, 2010 Notice of Cancellation of Deposition filed.
Apr. 27, 2010 Order Re-scheduling Hearing (hearing set for August 24 through 26, 2010; 9:00 a.m.; Sarasota, FL).
Apr. 27, 2010 Subpoena ad Testificandum (Howard Fuchs, M.D.; not available for viewing) filed.
Apr. 27, 2010 Subpoena ad Testificandum (R. A.; not available for viewing) filed.
Apr. 27, 2010 Subpoena ad Testificandum (Jack Wazenm, M.D.; not available for viewing) filed.
Apr. 27, 2010 Subpoena ad Testificandum (J. M. D.; not available for viewing) filed.
Apr. 27, 2010 Subpoena ad Testificandum (Hugh Windom; not available for viewing) filed.
Apr. 27, 2010 Subpoena ad Testificandum (B. L.; not available for viewing) filed.
Apr. 27, 2010 Subpoena ad Testificandum (C. L.; not available for viewing) filed.
Apr. 23, 2010 Motion to Withdraw Motion to set a Reasonable Expert Witness Fee for Deposition filed.
Apr. 23, 2010 Motion to Reset dates for Final Hearing due to Witness Unavailability filed.
Apr. 23, 2010 Notice of Taking Deposition Duces Tecum (Amy Budoff) filed.
Apr. 23, 2010 Notice of Taking Deposition Duces Tecum (Thomas Zaydon) filed.
Apr. 19, 2010 Notice of Unavailability filed.
Apr. 15, 2010 Subpoena for Deposition (B. L.; not available for viewing) filed.
Apr. 15, 2010 Subpoena for Deposition (Hugh Windom; not available for viewing) filed.
Apr. 15, 2010 Subpoena for Deposition (R. A.; not available for viewing) filed.
Apr. 15, 2010 Subpoena for Deposition (R. G. A.; not available for viewing) filed.
Apr. 15, 2010 Subpoena for Deposition (Howard Fuchs, M.D.; not available for viewing) filed.
Apr. 15, 2010 Subpoena for Deposition (J. M. D.; not available for viewing) filed.
Apr. 15, 2010 Subpoena for Deposition (C. L.; not available for viewing) filed.
Apr. 15, 2010 Amended Notice of Taking Deposition in Lieu Live Testimony at Final Hearing (Mr.James Durheim) filed.
Apr. 14, 2010 Order Granting Continuance and Re-scheduling Hearing (hearing set for July 20 through 22, 2010; 9:00 a.m.; Sarasota, FL).
Apr. 14, 2010 Motion to set a Reasonable Expert Witiness Fee for Deposition filed.
Apr. 13, 2010 Notice of Taking Deposition in Liew of Live Testimony at Final Hearing (James Durheim) filed.
Apr. 13, 2010 Motion to Set a Reasonable Expert Witness Fee for Deposition filed.
Apr. 13, 2010 Notice of Taking Deposition in Lieu of Live Testimony at Final Hearing (James Durheim) filed.
Apr. 13, 2010 Notice of Taking Deposition (Dr. Frank Steig) filed.
Apr. 12, 2010 CASE STATUS: Motion Hearing Held.
Apr. 09, 2010 Notice of Appearance (filed by A.Sofro).
Apr. 09, 2010 Notice of Production from Non-Party filed.
Apr. 09, 2010 Notice of Production from Non-Party filed.
Apr. 07, 2010 Petitioners Response to Respondent's Motion for Continuance filed.
Apr. 07, 2010 Motion for Continuance filed.
Mar. 16, 2010 Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production filed.
Mar. 16, 2010 Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production filed.
Mar. 16, 2010 Notice of Filing Respondent's Supplemental Response to Petitioner's Interrogatories and Request for Production filed.
Feb. 16, 2010 Order Severing Case and Closing File (09-5265PL).
Feb. 15, 2010 Petitioner's Motion to Relinquish Jurisdiction filed.
Feb. 10, 2010 Order Severing Case and Closing File (in Case No. 09-5268PL).
Feb. 08, 2010 Petitioner's Motion to Relinquish Jurisdiction filed.
Feb. 05, 2010 Order Granting Continuance and Re-scheduling Hearing (hearing set for May 5 through 7, 2010; 9:00 a.m.; Sarasota, FL).
Feb. 03, 2010 Uncontested Motion for Continuance filed.
Jan. 15, 2010 Notice of Serving Petitioner's First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent (filed in Case No. 09-005269PL).
Jan. 15, 2010 Notice of Serving Petitioner's First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent (filed in Case No. 09-005268PL).
Jan. 15, 2010 Notice of Serving Petitioner's First Request for Production, First Request for Interrogatories, and First Request for Admissions to Respondent (filed in Case No. 09-005270PL).
Nov. 10, 2009 Order Granting Continuance and Re-scheduling Hearing (hearing set for March 2 through 4, 2010; 9:00 a.m.; Sarasota, FL).
Nov. 02, 2009 Joint Motion for Continuance filed.
Oct. 16, 2009 Order of Pre-hearing Instructions.
Oct. 16, 2009 Notice of Hearing (hearing set for December 8 through 10, 2009; 9:00 a.m.; Sarasota, FL).
Oct. 14, 2009 Joint Response to Initial Order filed.
Oct. 06, 2009 Order Granting Extension of Time (response to the Initial Order to be filed by October 15, 2009).
Oct. 06, 2009 Order of Consolidation (DOAH Case Nos. 09-5265PL, 09-5267PL, 09-5268PL, 09-5269PL and 09-5270PL).
Oct. 05, 2009 Motion for Extension to File Response to Intial(sic) Order filed.
Oct. 05, 2009 Notice of Appearance (of S. Hibbert) filed.
Sep. 29, 2009 Notice of Appearance of Co-counsel (of D. Kiesling) filed.
Sep. 28, 2009 Election of Rights filed.
Sep. 28, 2009 Initial Order.
Sep. 25, 2009 Letter to J. Foster from S. Hibbert regarding revised Settlement Agreement filed.
Sep. 25, 2009 Administrative Complaint filed.
Sep. 25, 2009 Agency referral filed.

Orders for Case No: 09-005270PL
Issue Date Document Summary
Apr. 08, 2011 Agency Final Order
Feb. 01, 2011 Recommended Order Doctor's surgery hours were excessive for cosmetic procedures; doctor recommended and scheduled unnecessary surgery; and doctor used undue influence to get patient to undergo unneccessary allergy testing.
Source:  Florida - Division of Administrative Hearings

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