| LCA CASE NUMBER | I-200-21228-523551 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-16 |
| DECISION DATE | 2021-08-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Physicians and Surgeons, All Other |
| 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 | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Tallahassee Memorial Healthcare, Inc. |
| EMPLOYER ADDRESS1 | (Hospital) 1300 Miccosukee Road |
| EMPLOYER CITY | Tallahassee |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32308 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18504316256 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Moss |
| EMPLOYER POC FIRST NAME | Robin |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | (Hospital) 1300 Miccosukee Road |
| EMPLOYER POC CITY | Tallahassee |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32308 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18504316256 |
| EMPLOYER POC EMAIL | rob.moss@tmh.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kimbrell |
| AGENT ATTORNEY FIRST NAME | Elaine |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 3850 N. Causeway Blvd., |
| AGENT ATTORNEY ADDRESS2 | Ste. 555 |
| AGENT ATTORNEY CITY | Metairie |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70002 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15048305900 |
| AGENT ATTORNEY EMAIL ADDRESS | julie@david-ware.com |
| LAWFIRM NAME BUSINESS NAME | Ware | Immigration |
|
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | Louisiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1300 MICCOSUKEE RD |
| LCA CASE WORKLOC1 CITY | Tallahassee |
| WORKSITE COUNTY | LEON |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32308 |
| LCA CASE WAGE RATE FROM | 196000 |
| LCA CASE WAGE RATE TO | 196001 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122366 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Herzog |
| PREPARER FIRST NAME | Julie |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Ware | Immigration |
| PREPARER EMAIL | julie@david-ware.com |
