| LCA CASE NUMBER | I-200-22139-189647 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-19 |
| DECISION DATE | 2022-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Brevard Health Center PL |
| EMPLOYER ADDRESS1 | 298 Michigan Ave |
| EMPLOYER ADDRESS2 | Ste 101 |
| EMPLOYER CITY | Melbourne |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13212156899 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Ramirez |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 298 Michigan Ave |
| EMPLOYER POC ADDRESS2 | Ste 101 |
| EMPLOYER POC CITY | Melbourne |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13212156899 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Ryung Nam |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726905 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 298 Michigan Ave |
| WORKSITE ADDRESS2 | Ste 101 |
| LCA CASE WORKLOC1 CITY | Melbourne |
| WORKSITE COUNTY | BREVARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32901 |
| LCA CASE WAGE RATE FROM | 91728 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91728 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Stefanidhi |
| PREPARER FIRST NAME | Enerjeta |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | [email protected] |
