\ H1B CASE NUMBER I-200-21062-116578



CASE NUNBER: I-200-21062-116578

LCA CASE NUMBERI-200-21062-116578
STATUSWithdrawn
LCA CASE SUBMIT2021-03-03
DECISION DATE2021-03-03
VISA CLASSH-1B
LCA CASE JOB TITLEPhysician
SOC CODE29-1069
SOC TITLEPhysicians and Surgeons, All Other
FULL TIME POSITIONFalse
LCA CASE EMPLOYMENT START DATE2021-05-15
END DATE2024-05-14
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMETallahassee Memorial Healthcare, Inc.
EMPLOYER ADDRESS11300 Miccosukee Road
EMPLOYER CITYTallahassee
EMPLOYER STATEFL
EMPLOYER POSTAL CODE32308
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18504316256
NAICS CODE622110
EMPLOYER POC LAST NAMEMoss
EMPLOYER POC FIRST NAMERobin
EMPLOYER POC JOB TITLEExecutive Director
EMPLOYER POC ADDRESS 11300 Miccosukee Road
EMPLOYER POC CITYTallahassee
EMPLOYER POC STATEFL
EMPLOYER POC POSTAL CODE32308
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18504316256
EMPLOYER POC EMAILrob.moss@tmh.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKimbrell
AGENT ATTORNEY FIRST NAMEElaine
AGENT ATTORNEY MIDDLE NAMED
AGENT ATTORNEY ADDRESS13850 N. Causeway Blvd.,
AGENT ATTORNEY ADDRESS2Ste. 555
AGENT ATTORNEY CITYMetairie
AGENT ATTORNEY STATELA
AGENT ATTORNEY POSTAL CODE70002
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15048305900
AGENT ATTORNEY EMAIL ADDRESSjulie@david-ware.com
LAWFIRM NAME BUSINESS NAMEWare | Immigration
STATE OF HIGHEST COURTLA
NAME OF HIGHEST STATE COURTLouisiana Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11300 Miccosukee Road
LCA CASE WORKLOC1 CITYTallahassee
WORKSITE COUNTYLEON
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE32308
LCA CASE WAGE RATE FROM94.23
LCA CASE WAGE RATE TO95.23
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE67.17
PW UNIT OF PAYHour
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEHerzog
PREPARER FIRST NAMEJulie
PREPARER MIDDLE INITIALA
PREPARER BUSINESS NAMEWare | Immigration
PREPARER EMAILjulie@david-ware.com