Work Order — Track #4382

Case #3133 • Bennett, Laura v. Riverfront Grill, Inc. First follow-up in progress
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Order Summary
Location: 1 Source Chiropractic and Physical Medicine Center
19409 Shumard Oak Drive, Suite 102
Land O Lakes, FL 34638
Phone: 813) 448-2222
Fax: (813) 948-7111
Email: -
RingCentral
Request sent.
Assigned: Joseph Perri
Ordered: 2026-02-09
Due: -
Action Date: 2026-03-05
Records Requested:
Insurance
Case & Patient
Attorney: Jack Ma
Law Office: Staff Counsel Office Example
1 Main Street
New York , NY 11787
Ordered By: joeperri89@gmail.com
Case: Bennett, Laura v. Riverfront Grill, Inc.
Cause #: 2025-CV-009904
Claim #: CLM-2025-884112
Docket #: DKT-64218
Internal File #: -
Patient: Bruno Mars
AKA: AKA_GS
SSN: XXX-XX-7416
DOB: 1982-01-09
Address: 6970 Jefferson Ave, Unit 16
City/State/Zip: Fort Lauderdale , CO 86758
Open Case Open Order Open Location
Request Packets
Created File
2026-02-09 View
Facility Invoices
Received Amount Status Actions
No facility invoices.
Payments
Date Amount Method Status Invoice
No payments.
Records Received
Received Pages Type File
No records received.
Records Requested
Type Requested Status Fulfilled #
Insurance 2026-02-09 Pending - -
Tracking Step Log
First follow-up completed
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Called Facility 2/26/2026 3:31 PM
Called 1 Source Chiropractic and Physical Medicine Center at 813) 448-2222. Spoke with John. They advised They would be sending records today.
By: Joseph Perri Due: 2026-03-05 Client Visible
Assigned To: 2/26/2026 3:31 PM
Assigned To: UserNo=1005 [INITIAL]
By: System Due: 2026-02-28
Fax delivery confirmed 2/26/2026 3:31 PM
Fax delivered (manual)
By: System Due: 2026-02-26
Fax sent 2/26/2026 3:30 PM
By: System Due: 2026-02-26
Hold satisfied (expired/waived) 2/9/2026 11:30 AM
Hold satisfied (CLIENT CNO)
By: System Due: 2026-02-09 Client Visible
Custodian packet generated 2/9/2026 11:30 AM
Custodian packet created (client CNO)
By: System Due: 2026-02-09 Client Visible
Hold period expired (waive hold) 2/9/2026 11:29 AM
Client CNO received; hold waived by client: Client CNO uploaded; closing hold via client CNO
By: System Due: 2026-02-09 Client Visible
Subpoenas sent to client to file with court, placed on hold for objection 2/9/2026 11:28 AM
Subpoena notice sent to client/parties. BatchId=5103. Hold for objections started.
By: System
Received Order, In Progress 2/9/2026 6:28 AM
By: Joseph Perri Client Visible