| LCA CASE NUMBER | I-201-21067-127596 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-08 |
| DECISION DATE | 2021-03-15 |
| VISA CLASS | H-1B1 Chile |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-14 |
| END DATE | 2023-03-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | RENATO J. AVES LLC |
| TRADE NAME DBA | TAMPA BAY INSTITUTE OF ORAL SURGERY & DENTAL IMPLANTS |
| EMPLOYER ADDRESS1 | 7720 W WATERS AVENUE |
| EMPLOYER CITY | TAMPA |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33615 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18138856555 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | WANGELIN |
| EMPLOYER POC FIRST NAME | JULIE |
| EMPLOYER POC JOB TITLE | OPERATIONS MANAGER |
| EMPLOYER POC ADDRESS 1 | 7720 W WATERS AVENUE |
| EMPLOYER POC CITY | TAMPA |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18138856555 |
| EMPLOYER POC EMAIL | earango@ariastovar.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ARIAS TOVAR |
| AGENT ATTORNEY FIRST NAME | Ileana |
| AGENT ATTORNEY ADDRESS1 | 12781 Miramar Pkway |
| AGENT ATTORNEY ADDRESS2 | Suite 203 |
| AGENT ATTORNEY CITY | Miramar |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33027 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19543852284 |
| AGENT ATTORNEY EMAIL ADDRESS | dol-attorney@ariastovar.com |
| LAWFIRM NAME BUSINESS NAME | Arias Tovar & Associates P.A |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | NEW YORK SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 320 N Edinburgh Avenue |
| WORKSITE ADDRESS2 | Suite A |
| LCA CASE WORKLOC1 CITY | Winter Park |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32792 |
| LCA CASE WAGE RATE FROM | 247520 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 236725 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | N/A N/A |
