| LCA CASE NUMBER | I-200-20121-532037 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-30 |
| DECISION DATE | 2020-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-27 |
| END DATE | 2023-07-27 |
| 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 | GREENBERG DENTAL & ORTHODONTICS, PA |
| EMPLOYER ADDRESS1 | 926 GREAT POND DRIVE |
| EMPLOYER ADDRESS2 | SUITE 2002 |
| EMPLOYER CITY | ALTAMONTE SPRINGS |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32714 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14077725105 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | CHUDEUSZ |
| EMPLOYER POC FIRST NAME | BRENDA |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCE DIRECTOR |
| EMPLOYER POC ADDRESS1 | 926 GREAT POND DRIVE |
| EMPLOYER POC ADDRESS2 | SUITE 2002 |
| EMPLOYER POC CITY | ALTAMONTE SPRINGS |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32714 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14077725105 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | WEISBERG |
| AGENT ATTORNEY FIRST NAME | JEFFREY |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 32871 MIDDLEBELT ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 100 |
| AGENT ATTORNEY CITY | FARMINGTON HILLS |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48334 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12489320630.0 |
| AGENT ATTORNEY PHONE EXT | 223.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF AMARNATH GOWDA |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF MICHIGAN |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1562 WELLS ROAD |
| WORKSITE ADDRESS2 | SUITE 16 |
| LCA CASE WORKLOC1 CITY | ORANGE PARK |
| WORKSITE COUNTY | CLAY |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32073 |
| LCA CASE WAGE RATE FROM | 148000.0 |
| LCA CASE WAGE RATE TO | 148001.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 147909.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | THUMMALA |
| PREPARER FIRST NAME | SHANTHA |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | LAW OFFICES OF AMARNATH GOWDA |
| PREPARER EMAIL | [email protected] |
