| LCA CASE NUMBER | I-200-21124-287000 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-04 |
| DECISION DATE | 2021-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | BAYCARE MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 3503 E. FRONTAGE RD. |
| EMPLOYER CITY | TAMPA |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18632971764 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | ANDREWS |
| EMPLOYER POC FIRST NAME | KRIS |
| EMPLOYER POC JOB TITLE | PHYSICIAN RECRUITER |
| EMPLOYER POC ADDRESS 1 | 3503 EAST FRONTAGE RD. |
| EMPLOYER POC CITY | TAMPA |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18632971764 |
| EMPLOYER POC EMAIL | KRIS.ANDREWS@BAYCARE.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BRADSHAW |
| AGENT ATTORNEY FIRST NAME | PENNI |
| AGENT ATTORNEY MIDDLE NAME | PEARSON |
| AGENT ATTORNEY ADDRESS1 | 100 N. CHERRY ST. |
| AGENT ATTORNEY ADDRESS2 | STE. 300 |
| AGENT ATTORNEY CITY | WINSTON-SALEM |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13367216842 |
| AGENT ATTORNEY EMAIL ADDRESS | ABRANNON@CONSTANGY.COM |
| LAWFIRM NAME BUSINESS NAME | CONSTANGY, BROOKS, SMITH & PROPHETE, LLP |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 28864 SR 54E |
| LCA CASE WORKLOC1 CITY | WESLEY CHAPEL |
| WORKSITE COUNTY | PASCO |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33543 |
| LCA CASE WAGE RATE FROM | 174616 |
| LCA CASE WAGE RATE TO | 229000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 174616 |
| 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 |
| PREPARER LAST NAME | BRANNON |
| PREPARER FIRST NAME | AIMEE |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | CONSTANGY BROOKS SMITH & PROPHETE LLP |
| PREPARER EMAIL | ABRANNON@CONSTANGY.COM |
