| CASE NUMBER | I-200-25010-611102 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/10/2025 |
| DECISION DATE | 1/17/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Pediatric Critical Care Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | N |
| BEGIN DATE | 2/1/2025 |
| END DATE | 1/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Orlando Health Medical Group Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1414 Kuhl Ave |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Orlando |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32806 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13218411601 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Davis |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 1414 Kuhl Ave |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Orlando |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32806-1113 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13218411790 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Jill.Davis@orlandohealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hanagan |
| AGENT ATTORNEY FIRST NAME | Sean |
| AGENT ATTORNEY MIDDLE NAME | G |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19148726879 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Sean.Hanagan@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lews P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 92 W. Miller Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Orlando |
| WORKSITE COUNTY | ORANGE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32806 |
| WAGE RATE OF PAY FROM | $190.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| 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 | Piscitelli |
| PREPARER FIRST NAME | Margaret |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | Margaret.Piscitelli@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2025-02-01 |
