| LCA CASE NUMBER | I-200-23082-872528 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-23 |
| DECISION DATE | 2023-03-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-01 |
| END DATE | 2026-08-31 |
| 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 | South Broward Hospital District |
| TRADE NAME DBA | Memorial Healthcare System |
| EMPLOYER ADDRESS1 | 3111 Stirling Road |
| EMPLOYER CITY | Hollywood |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33312 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19549855972 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Primiano |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 3111 Stirling Road |
| EMPLOYER POC CITY | Hollywood |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33312 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19542657778 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B. |
| 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 | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1000 South Pine Island, Arcade A-180 |
| LCA CASE WORKLOC1 CITY | Plantation |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33323 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 205712 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sanchez |
| PREPARER FIRST NAME | Jennifer |
| PREPARER BUSINESS NAME | Jackson Lewis P.C |
| PREPARER EMAIL | [email protected] |
