| LCA CASE NUMBER | I-200-21037-060912 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-06 |
| DECISION DATE | 2021-02-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-30 |
| END DATE | 2024-06-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Physicians of Central Florida |
| EMPLOYER ADDRESS1 | 18550 US Highway 441 |
| EMPLOYER CITY | Mount Dora |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32757 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13523833751 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Chang |
| EMPLOYER POC FIRST NAME | Khai |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 18550 US Highway 441 |
| EMPLOYER POC CITY | Mount Dora |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32757 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13523833751 |
| EMPLOYER POC EMAIL | kschang5387@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Ted |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 26111 W 14 MILE RD STE 104 |
| AGENT ATTORNEY CITY | FRANKLIN |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48025-1170 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575 |
| AGENT ATTORNEY EMAIL ADDRESS | tss225@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | AdventHealth Waterman |
| WORKSITE ADDRESS1 | 1000 Waterman Way |
| LCA CASE WORKLOC1 CITY | Tavares |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32778 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 177902 |
| 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 |
