| LCA CASE NUMBER | I-200-22118-116456 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-28 |
| DECISION DATE | 2022-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 |
| EMPLOYER ADDRESS1 | 4315 Woodland Park Dr. |
| EMPLOYER ADDRESS2 | Ste. 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 | Chase |
| EMPLOYER POC FIRST NAME | Shelly |
| EMPLOYER POC JOB TITLE | Sr. HR Generalist |
| 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 | 13212416862 |
| EMPLOYER POC EMAIL | shelly.chase@brevardhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Caze |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Fl. |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148728022 |
| AGENT ATTORNEY EMAIL ADDRESS | sarah.caze@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 | 2120 Sarno Road |
| LCA CASE WORKLOC1 CITY | Melbourne |
| WORKSITE COUNTY | BREVARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32935 |
| LCA CASE WAGE RATE FROM | 210000.18 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |