| LCA CASE NUMBER | I-200-21082-168721 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-23 |
| DECISION DATE | 2021-03-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Emergency Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-30 |
| END DATE | 2024-04-29 |
| 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 | Pediatric Physician Services, Inc. |
| TRADE NAME DBA | All Children's Specialty Physicians |
| EMPLOYER ADDRESS1 | 600 5th Street South |
| EMPLOYER ADDRESS2 | 6th Floor |
| EMPLOYER CITY | St. Petersburg |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17277673782 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Pennywell |
| EMPLOYER POC FIRST NAME | Jannette |
| EMPLOYER POC JOB TITLE | Administrative Coordinator |
| EMPLOYER POC ADDRESS 1 | 600 5th Street South |
| EMPLOYER POC ADDRESS 2 | 6th Floor |
| EMPLOYER POC CITY | St. Petersburg |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17277673782 |
| EMPLOYER POC EMAIL | jpennywell@jhmi.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Taylor |
| AGENT ATTORNEY FIRST NAME | Frances |
| AGENT ATTORNEY MIDDLE NAME | O'Connell |
| AGENT ATTORNEY ADDRESS1 | 100 Light Street |
| AGENT ATTORNEY CITY | Baltimore |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14104123462 |
| AGENT ATTORNEY EMAIL ADDRESS | ftaylor@milesstockbridge.com |
| LAWFIRM NAME BUSINESS NAME | Miles & Stockbridge P.C. |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Johns Hopkins All Children's Hospital, Inc. |
| WORKSITE ADDRESS1 | 501 6th Avenue South |
| LCA CASE WORKLOC1 CITY | St. Petersburg |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33701 |
| LCA CASE WAGE RATE FROM | 130 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 105 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Taylor |
| PREPARER FIRST NAME | Frances |
| PREPARER MIDDLE INITIAL | O. |
| PREPARER BUSINESS NAME | Miles & Stockbridge P.C. |
| PREPARER EMAIL | ftaylor@milesstockbridge.com |