| LCA CASE NUMBER | I-200-21028-040653 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-28 |
| DECISION DATE | 2021-02-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Head and Neck Surgery Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-06 |
| END DATE | 2024-06-05 |
| 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 | Florida Hospital Medical Group, Inc. |
| TRADE NAME DBA | AdventHealth Medical Group |
| EMPLOYER ADDRESS1 | 2600 Westhall Lane |
| EMPLOYER CITY | Maitland |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32751 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14072004012 |
| 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 | saji.john@adventhealth.com |
| 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 | 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 | jessica.trujillo@akerman.com |
| 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 Altamonte Springs |
| WORKSITE ADDRESS1 | 601 E. Altamonte Drive |
| LCA CASE WORKLOC1 CITY | Altamonte Springs |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32701 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 230069 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
