i Received Event (Event Succeeded) 3/9/00 . Time: 3:14 PM Date: . 7 Duration: 1m “8sec wnat. a Man! "S.2%@a 9 3:49PM PHA MEDICAL NO.811 -P.57 1 Nee STATE OF FLORIDA DEPARTMENT OF HEALTH DEPARTMENT OF HEALTH, 66-/66/ CASE NO, 1997-00046 PETITIONER, v. MICHAEL FELIX FRESHWATER, M,D., ee eee ee ee RESPONDENT. AD STRA! COMPLAINT COMES NOW the Petitioner, Department of Health, hereinafter referred to gs “Petitioner,” and files this Administrative Complaint before the Board of Medicine against Michael Felix Freshwater, MD. hereinafter referred to as “Respondent, = and alleges: 1. Effective July 1, 1997, Petitioner is the state agency charged with regulating the practice of medicine pursuant to Section 20.43, Florida Statutes; Chapter 455, Florida Statutes, and Chapter 458, Flotide Statutes. Pursuant to the provisions of ‘Section 20.43(3), Florida Statutes, the Petitioner has contracted with the Agency for Health Care Administration to provide consumer complaint, investigative, and prose services required by the Division of Medical | Quality Assurance, couneils, or r boards, as appropriate. 2. Respondent is and has been at all times material hereto a licensed physician in the state of Florida, having been issued license number ME 0031502. Respondent’s last known address is 9380 SW 150th Street, Suite 190, Miami, Florida 33176. 3. Respondent is board certified in Plastic Surgery. Received Event (Event Succeeded) 3/9/00 Date: . . Pages: panna f 7 4 WAAR LA MAR. 9.2008 Js chi si Meta tence isReiSihas: Hantieiea ta apenas 4. Time: 3:14 PM Duration: 1m ~8sec na lun WW 3:19PM AHCA/MEDICAL NO. 811 P.6/7 poe ~ Sew” On or about March 6, 1996, Respondent applied for staff privileges at Miami Children’s Hospital. As a part of the application process, Respondent completed and signed a form titled “Application for Reappointment to the Medical Staff” (hereinafter, “Application”), 5, The Application contained the follawing questions, in pertinent part: Have your clinical privileges at any other hospital or health institute ever been voluntarily or involuntarily limited, suspended, revoked, not renewed, subjected to probationary conditions, or relinquished; or have challenges or proceedings toward any of those ends ever been instituted? ~ Has your Medical Staff membership or Medicat Staff statys at any hospital or “health care institution ever been voluntarily or involuntarily limited, suspended, -revoked, not renewed, subjected to probationary conditions (excluding.initial conditions routinely placed on all such privileges at the institution), or relinquished; or have proceedings toward any o those ends ever been instituted or recommended by a Hospital or Medical Staff Committee or officer or an institutional Governing Board? Respondent answered “no” to both of the above questions, 6. 7. The Application also contains the following affirmatién, in pertinent part: -In making application for reapppointment to the Medical Staff of Miami Children’s Hospital, I fully understand that any misstatements in or omissions from this application constitute cause for denial of appointment or cause for “summary dismissal from the Medical Staff of Miami Children’s Hogpital. All -information submitted by me in this application is tue to my knowledge and