| LCA CASE NUMBER | I-200-19277-071104 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-04 |
| DECISION DATE | 2019-10-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-24 |
| END DATE | 2022-10-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Trenton Medical Center Inc. |
| TRADE NAME DBA | Palms Medical Group |
| EMPLOYER ADDRESS1 | 23343 NW County Road 236 |
| EMPLOYER CITY | High Springs |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32643 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13864540698 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Riels |
| EMPLOYER POC FIRST NAME | Anita |
| EMPLOYER POC MIDDLE NAME | H |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 23343 NW County Road 236 |
| EMPLOYER POC CITY | High Springs |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32643 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +13864540698 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sivaraman |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 911 S Main Street |
| LCA CASE WORKLOC1 CITY | Trenton |
| WORKSITE COUNTY | GILCHRIST |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32693 |
| LCA CASE WAGE RATE FROM | 82.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.97 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Huang |
| PREPARER FIRST NAME | Jing |
| PREPARER BUSINESS NAME | Sivaraman Immigration Law |
| PREPARER EMAIL | [email protected] |
