| LCA CASE NUMBER | I-200-21172-415021 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-21 |
| DECISION DATE | 2021-06-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist Assistant |
| SOC CODE | 29-1071.01 |
| SOC TITLE | Anesthesiologist Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Sunshine State Anesthesia |
| EMPLOYER ADDRESS1 | PO Box 570 |
| EMPLOYER CITY | Nashville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17273178129 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hisghman |
| EMPLOYER POC FIRST NAME | Jonathan |
| EMPLOYER POC MIDDLE NAME | G |
| EMPLOYER POC JOB TITLE | Physician |
| EMPLOYER POC ADDRESS 1 | 9332 FL 54 |
| EMPLOYER POC CITY | Trinity |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 34655 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19542427066 |
| EMPLOYER POC EMAIL | jonathan.hisghman@hcahealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hammond |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | F. |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | 3200 Carew Tower |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133812011 |
| AGENT ATTORNEY EMAIL ADDRESS | edm@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore |
|
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | New Port Richey Surgery Center at Trinity |
| WORKSITE ADDRESS1 | 9332 FL 54 |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Trinity |
| WORKSITE COUNTY | PASCO |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 34655 |
| LCA CASE WAGE RATE FROM | 169562.14 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 87090 |
| 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 |
