| LCA CASE NUMBER | I-200-23250-326344 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-07 |
| DECISION DATE | 2023-09-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-11-01 |
| END DATE | 2026-10-31 |
| 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 | Mariano D Cibran, MD Corp. |
| TRADE NAME DBA | St. Petersbur Pediatrics |
| EMPLOYER ADDRESS1 | 2115 Central Ave. |
| EMPLOYER CITY | St. Petersburg |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33713 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17275269135 |
| EMPLOYER PHONE EXT | 1223 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Cibran |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2115 Central Ave. |
| EMPLOYER POC CITY | St. Petersburg |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33713 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17275269135 |
| EMPLOYER POC PHONE EXT | 1223 |
| EMPLOYER POC EMAIL | mcibran@stpetepeds.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 350 Highway 7 |
| AGENT ATTORNEY ADDRESS2 | Suite 140 |
| AGENT ATTORNEY CITY | Excelsior |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55331 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Minnesota |
| AGENT ATTORNEY PHONE | 16122055494 |
| AGENT ATTORNEY EMAIL ADDRESS | bbruner@brunerlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4105 49th St. N |
| LCA CASE WORKLOC1 CITY | St. Petersburg |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33709 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121430 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |