| LCA CASE NUMBER | I-200-21064-124882 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-05 |
| DECISION DATE | 2021-03-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN / ATTENDING |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2024-03-31 |
| 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 | VARIETY CHILDREN'S HOSPITAL |
| TRADE NAME DBA | NICKLAUS CHILDREN'S HOSPITAL |
| EMPLOYER ADDRESS1 | 3100 SW 62 AVENUE |
| EMPLOYER CITY | MIAMI |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33155 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17866242438 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | GIBSON |
| EMPLOYER POC FIRST NAME | MARGARET |
| EMPLOYER POC JOB TITLE | TALENT MANAGER, HUMAN RESOURCES |
| EMPLOYER POC ADDRESS 1 | 3100 SW 62 AVENUE |
| EMPLOYER POC CITY | MIAMI |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33155 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17866242438 |
| EMPLOYER POC EMAIL | margaret.gibson@nicklaushealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BLUMBERG |
| AGENT ATTORNEY FIRST NAME | Aaron |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 800 NW 62ND AVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 590 |
| AGENT ATTORNEY CITY | MIAMI |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33126 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13057745800 |
| AGENT ATTORNEY EMAIL ADDRESS | ablumberg@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
|
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10383 HAGEN RANCH ROAD |
| LCA CASE WORKLOC1 CITY | BOYNTON BEACH |
| WORKSITE COUNTY | PALM BEACH |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33437 |
| LCA CASE WAGE RATE FROM | 260000 |
| LCA CASE WAGE RATE TO | 260001 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80787 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
