| LCA CASE NUMBER | I-200-19064-622744 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-03-05 |
| DECISION DATE | 2019-10-31 |
| ORIGINAL CERT DATE | 2019-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC TITLE | PHYSICIANS AND SURGEONS, ALL OTHER |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-07-01 |
| END DATE | 2022-07-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION |
| EMPLOYER ADDRESS1 | 265 BROOKVIEW CENTRE WAY |
| EMPLOYER ADDRESS2 | SUITE 400 |
| EMPLOYER CITY | KNOXVILLE |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37919 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8882032264 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | USMANI |
| EMPLOYER POC FIRST NAME | KAREN |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | IMMIGRATION SPECIALIST |
| EMPLOYER POC ADDRESS1 | 265 BROOKVIEW CENTRE WAY |
| EMPLOYER POC ADDRESS2 | SUITE 400 |
| EMPLOYER POC CITY | KNOXVILLE |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37919 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 8882032264 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | RACHEL |
| AGENT ATTORNEY FIRST NAME | RACHEL |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 3080 NORTH LITCHFIELD ROAD |
| AGENT ATTORNEY CITY | GOODYEAR |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85395 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 6235365750.0 |
| AGENT ATTORNEY PHONE EXT | 1020.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF BRELJE AND ASSOCIATES P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | TEXAS SUPREME COURT |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Florida Hospital Altamonte |
| WORKSITE ADDRESS1 | 601 E Altamonte Drive |
| LCA CASE WORKLOC1 CITY | Altamonte Springs |
| WORKSITE COUNTY | Seminole |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32701 |
| LCA CASE WAGE RATE FROM | 200750.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119954.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SMITH |
| PREPARER FIRST NAME | KERRI |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | LAW OFFICES OF BRELJE AND ASSOCIATES, P.C. |
| PREPARER EMAIL | [email protected] |
