| LCA CASE NUMBER | I-200-21174-421803 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-06-23 |
| DECISION DATE | 2023-04-13 |
| ORIGINAL CERT DATE | 2021-06-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician- Pediatric Ophthalmology/Surgery |
| SOC CODE | 29-1069.06 |
| SOC TITLE | Ophthalmologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | The Nemours Foundation- Nemours Children's Hospital |
| EMPLOYER ADDRESS1 | 10140 Centurion Parkway North |
| EMPLOYER CITY | Jacksonville |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32256 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19046974100 |
| NAICS CODE | 622310 |
| EMPLOYER POC LAST NAME | Richardson |
| EMPLOYER POC FIRST NAME | Brian |
| EMPLOYER POC JOB TITLE | Physician Recruitment Manager |
| EMPLOYER POC ADDRESS1 | Lake Nona Town Center Office 1 |
| EMPLOYER POC ADDRESS2 | 6900 Tavistock Lakes Blvd |
| EMPLOYER POC CITY | Orlando |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 19803 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14076507670 |
| EMPLOYER POC EMAIL | Brian.Richardson@Nemours.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600 |
| AGENT ATTORNEY EMAIL ADDRESS | rfulton@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Nemours Children’s Spec Care at Lakeland Regional Med Ctr |
| WORKSITE ADDRESS2 | 1324 Lakeland Hills Blvd |
| LCA CASE WORKLOC1 CITY | Lakeland |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33805 |
| LCA CASE WAGE RATE FROM | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139714 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
