| CASE NUMBER | I-200-25027-643724 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/27/2025 |
| DECISION DATE | 2/3/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/22/2025 |
| END DATE | 6/21/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Mayo Clinic |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 200 First Street SW |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Rochester |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55905 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15075381156 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | LEVERENCE |
| EMPLOYER POC FIRST NAME | Paige |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Legal Specialist |
| EMPLOYER POC ADDRESS1 | 200 First Street SW |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Rochester |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55905 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14803016141 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | visahelp@mayo.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Minster |
| AGENT ATTORNEY FIRST NAME | Jake |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 100 High Street |
| AGENT ATTORNEY ADDRESS2 | 3rd Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | BostonE-GroupFlag@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | The Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Cannaday Primary Care Clinic, 4500 San Pablo Rd S |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32224 |
| WAGE RATE OF PAY FROM | $288,750.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $270,858.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Thankachan |
| PREPARER FIRST NAME | Donel |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey ,Bernsen & Loewy, LLP |
| PREPARER EMAIL | BostonE-GroupFlag@Fragomen.com |
| BEGIN DATE CONVERTED | 2025-06-22 |
