| CASE NUMBER | I-200-25017-627481 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/17/2025 |
| DECISION DATE | 1/27/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/2/2025 |
| END DATE | 7/1/2028 |
| 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 | VItas Healthcare |
| TRADE NAME DBA | Vitas |
| EMPLOYER ADDRESS1 | 3046 Corporate Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Miramar |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13053426761 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Fernandez |
| EMPLOYER POC FIRST NAME | Alexander |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Vice President and Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 3046 Corporate Way |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Miramar |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13053426761 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alexander.fernandez@vitas.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Siebert |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | Newell |
| AGENT ATTORNEY ADDRESS1 | 307 N Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 924 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13122138115 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | wns@siebert-immigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | William Newell Siebert, PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2201 Lucien Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Maitland |
| WORKSITE COUNTY | ORANGE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32751 |
| 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 | $119,122.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Siebert |
| PREPARER FIRST NAME | William |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | William Newell Siebert, PC |
| PREPARER EMAIL | wns@siebert-immigrationlaw.com |
| BEGIN DATE CONVERTED | 2025-07-02 |
