| CASE NUMBER | I-200-24180-158726 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/28/2024 |
| DECISION DATE | 7/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Nephrology Associates of Central Florida, P.A. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 807 S Orlando Avenue |
| EMPLOYER ADDRESS2 | Suite C |
| EMPLOYER CITY | Winter Park |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32789 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14078944693 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Hoopingarner |
| EMPLOYER POC FIRST NAME | Todd |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 5224 S. East Street |
| EMPLOYER POC ADDRESS2 | Suite #1 |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46227 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13173741565 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | todd.hoopingarner@askphrs.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Keeney |
| AGENT ATTORNEY FIRST NAME | Melanie |
| AGENT ATTORNEY MIDDLE NAME | Gurley |
| AGENT ATTORNEY ADDRESS1 | 34 N. Meramec Ave. |
| AGENT ATTORNEY ADDRESS2 | Ste. 600 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13148803611 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mkeeney@tuethkeeney.com |
| LAWFIRM NAME BUSINESS NAME | Tueth, Keeney, Cooper, Mohan & Jackstadt PC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | AdventHealth Apopka Hospital |
| WORKSITE ADDRESS1 | 2100 Ocoee Apopka Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Apopka |
| WORKSITE COUNTY | ORANGE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32703 |
| WAGE RATE OF PAY FROM | 240,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ray |
| PREPARER FIRST NAME | Michelle |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Tueth Keeney Cooper Mohan & Jackstadt, P.C. |
| PREPARER EMAIL | mray@tuethkeeney.com |
| BEGIN DATE CONVERTED | 2024-01-08 |
