| LCA CASE NUMBER | I-200-24151-051162 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-30 |
| DECISION DATE | 2024-06-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-01 |
| END DATE | 2027-06-30 |
| 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 | Brevard Health Alliance, Inc. |
| EMPLOYER ADDRESS1 | 4315 Woodland Park Drive |
| EMPLOYER ADDRESS2 | Suite 104 |
| EMPLOYER CITY | West Melbourne |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13212416862 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Koos |
| EMPLOYER POC FIRST NAME | Courtney |
| EMPLOYER POC JOB TITLE | Clinical Recruitment and Retention Specialist |
| EMPLOYER POC ADDRESS1 | 4315 Woodland Park Dr. |
| EMPLOYER POC ADDRESS2 | Suite 104 |
| EMPLOYER POC CITY | West Melbourne |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13218024701 |
| EMPLOYER POC EMAIL | Courtney.Koos@brevardhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | otieno.ombok@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 220 Barton Boulevard |
| LCA CASE WORKLOC1 CITY | Rockledge |
| WORKSITE COUNTY | BREVARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32955 |
| LCA CASE WAGE RATE FROM | 210000.18 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 77979 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Lizarazo |
| PREPARER FIRST NAME | Lilia |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | lilia.lizarazo@jacksonlewis.com |