| LCA CASE NUMBER | I-200-21158-374195 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-07 |
| DECISION DATE | 2021-06-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-14 |
| END DATE | 2024-06-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Emergency Medical Specialists of Jacksonville, PLLC |
| EMPLOYER ADDRESS1 | 1 Shircliff Way |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19043088435 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Gordon |
| EMPLOYER POC FIRST NAME | Donna |
| EMPLOYER POC JOB TITLE | Administrative Secretary |
| EMPLOYER POC ADDRESS 1 | 1 Shircliff Way |
| EMPLOYER POC CITY | Jacksonville |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32204 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19043085030 |
| EMPLOYER POC EMAIL | dgordon@emsj.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Berlin |
| AGENT ATTORNEY FIRST NAME | Robert |
| AGENT ATTORNEY MIDDLE NAME | Lloyd |
| AGENT ATTORNEY ADDRESS1 | 6821 Southpoint Drive North |
| AGENT ATTORNEY ADDRESS2 | Suite 203 |
| AGENT ATTORNEY CITY | Jacksonville |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32216 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19042969474 |
| AGENT ATTORNEY EMAIL ADDRESS | immigrationbob@aol.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Robert L Berlin |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 Shircliff Way |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32204 |
| LCA CASE WAGE RATE FROM | 185 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 | Berlin |
| PREPARER FIRST NAME | Robert |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Law Office of Robert L Berlin |
| PREPARER EMAIL | immigrationbob@aol.com |
