| LCA CASE NUMBER | I-200-21083-172621 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-24 |
| DECISION DATE | 2021-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1199.00 |
| SOC TITLE | Health Diagnosing and Treating Practitioners, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-12 |
| END DATE | 2024-04-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Florida Hospital Physician Group, Inc. |
| TRADE NAME DBA | AdventHealth Medical Group |
| EMPLOYER ADDRESS1 | 12470 Telecom Drive |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Tampa |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33637 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14073571626 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | JOHN |
| EMPLOYER POC FIRST NAME | SAJI |
| EMPLOYER POC JOB TITLE | IMMIGRATION MANAGER |
| EMPLOYER POC ADDRESS 1 | 900 HOPE WAY |
| EMPLOYER POC CITY | ALTAMONTE SPRINGS |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32714 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14073571626 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GAVICA PEREZ |
| AGENT ATTORNEY FIRST NAME | DENISE |
| AGENT ATTORNEY ADDRESS1 | 98 SE 7 STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 1100 |
| AGENT ATTORNEY CITY | MIAMI |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13059825638 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | AKERMAN LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | AdventHealth Medical Group |
| WORKSITE ADDRESS1 | 13933 17th Street |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Dade City |
| WORKSITE COUNTY | PASCO |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33525 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 84053 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
