| LCA CASE NUMBER | I-200-21027-036256 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-27 |
| DECISION DATE | 2021-02-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesia Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-01 |
| END DATE | 2024-02-29 |
| 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 | Sunshine State Anesthesia Partners, LLC |
| EMPLOYER ADDRESS1 | 33920 US Highway 19N |
| EMPLOYER ADDRESS2 | Suite 340 |
| EMPLOYER CITY | Palm Harbor |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 34684 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17273178129 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Laverty |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS 1 | 33920 US Highway 19N |
| EMPLOYER POC ADDRESS 2 | Suite 340 |
| EMPLOYER POC CITY | Palm Harbor |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 34684 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17273178129 |
| EMPLOYER POC EMAIL | Merle.Gibbs@HCAHealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Neal |
| AGENT ATTORNEY FIRST NAME | Sherry |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133812011 |
| AGENT ATTORNEY EMAIL ADDRESS | kelsey.hammond@hammondlawgroup.com |
|
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 14000 Fivay Road |
| LCA CASE WORKLOC1 CITY | Hudson |
| WORKSITE COUNTY | PASCO |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 34667 |
| LCA CASE WAGE RATE FROM | 495000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 218400 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Hammond Neal Moore, LLC |
| PREPARER EMAIL | kelsey.hammond@hammondlawgroup.com |
