| LCA CASE NUMBER | I-200-20261-830765 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-17 |
| DECISION DATE | 2020-09-24 |
| 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 | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Crystal River HMA Physician Management, LLC |
| EMPLOYER ADDRESS1 | 5915 W Gulf to Lake Hwy |
| EMPLOYER CITY | Crystal River |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 34429 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13257958301 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Stockton |
| EMPLOYER POC FIRST NAME | Linda |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 5915 W Gulf to Lake Hwy |
| EMPLOYER POC CITY | Crystal River |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 34429 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13527958301 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Cohen |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5915 W Gulf to Lake Hwy |
| LCA CASE WORKLOC1 CITY | Crystal River |
| WORKSITE COUNTY | CITRUS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 34429 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94890.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
