Left to right: Patrick Sullivan, Carlos Arce, Josh Bloom, Megan Paranzino and Ryan Sanders, Lubell Rosen

Lubell Rosen, which started as a medical malpractice defense shop, has added five partners in the midst of an expansion push that is taking the law firm into new practice areas and locations.

The firm with offices in Fort Lauderdale and Coral Gables had 24 attorneys a year ago, now has 30 and projects growth to around 40 by the end of 2019. A Tampa Bay area office is contemplated.

“We already have a lot of clients in Central Florida. They tend to gravitate more in Tampa,” co-managing partner Mark Rosen said Monday. “We’re looking at getting a permanent presence.”

Founded in 2000, Lubell Rosen attracted clients by charging uninsured physicians — a potential market of 6,000 to 7,000 in Florida — a flat-fee retainer for legal costs as the price of medical malpractice insurance coverage climbed.

“A doctor can pay $150,000 a year for $250,000 coverage. It does not add up,” Rosen said. “Economically they’re getting squeezed. For certain doctors, this makes more sense.”

Representation of physicians has segued into new practice areas including transactions, federal compliance and general corporate, international, probate and asset protection work.

“We’re also moving into the area of employment law, real estate, commercial litigation. This all started as a spinoff of the physician work,” said Rosen, who manages the firm with co-founder Steven Lubell.

With a wider scope of legal practice, more attorneys were needed, and outsiders are bringing their clients with them.

“We’re not a traditional pyramid-style law firm. We look for people that not only are exceptional attorneys but are out in the community getting clients and have a good business mind,” Rosen said. ”Our platform for attorneys is very flexible, and we designed it to bring in attorneys that have that entrepreneurial spirit.”

Most of the firm’s attorneys are partners, and many have defected from larger firms.

“A lot of our attorneys are from big firms but prefer a lot of autonomy,” Rosen said. ”We supervise their marketing and practice in the way they want to do it, so we don’t really force them into some formula.”

The new partners include two former Lubell Rosen attorneys, Carlos H. Arce and Josh M. Bloom, who rejoined the firm as partners, and three others, Ryan M. Sanders, Patrick R. Sullivan and Megan Sincore Paranzino, who were promoted from associate.

Arce, formerly a law clerk at the firm, focuses his practice on health law, HIPAA compliance, privacy, data breach, personal injury protection and medical malpractice defense. He went to Flanagan Maniotis Berger Ryan in West Palm Beach after leaving Lubell Rosen in July 2017. Before law school, he worked for a large South Florida medical practice, giving him a grounding in provider operations.

Bloom is a civil litigation and health care regulatory attorney who engages in complex commercial disputes with an emphasis on employment matters. He previously was a senior associate with Greenspoon Marder’s Florida Health Law Center and a civil litigator at Lubell Rosen.

Sanders has been with Lubell Rosen since 2015. He focuses on medical malpractice defense and assists medical providers in the recovery of their medical bills. Before joining the firm, he spent two years with the Brotman Nusbaum Ibrahim personal injury firm in Boca Raton.

Sullivan, who joined the firm in 2015, handles medical malpractice defense, personal injury, wrongful death, employment law, health law, white-collar criminal defense and business litigation. He previously was an associate at Garland, Samuel & Loeb in Atlanta, where he handled criminal defense and personal injury cases for four years.

Paranzino focuses on medical malpractice defense and prepares responses to state Health Department and Board of Medicine investigations. She joined the firm in 2012.