| CASE NUMBER | I-200-24326-490346 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/21/2024 |
| DECISION DATE | 11/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 11/20/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Saltzman, Tanis, Pittell, Levin and Jacobson LLC |
| TRADE NAME DBA | Pediatric Associates |
| EMPLOYER ADDRESS1 | 900 S. Pine Island Road |
| EMPLOYER ADDRESS2 | Suite 800 |
| EMPLOYER CITY | Plantation |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33324 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19549657382 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Rabon |
| EMPLOYER POC FIRST NAME | Nikki |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP of Human Resources |
| EMPLOYER POC ADDRESS1 | 900 South Pine Island Road |
| EMPLOYER POC ADDRESS2 | Suite 800 |
| EMPLOYER POC CITY | Plantation |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33324 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19549657382 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Nrabon@pediatricassociates.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Ted |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 7220 Camden Court |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12488517575 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | tss225@aol.com |
| LAWFIRM NAME BUSINESS NAME | VisaLawyer PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 501 W State Road 434 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Winter Springs |
| WORKSITE COUNTY | SEMINOLE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32708 |
| WAGE RATE OF PAY FROM | $175,785.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $200,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $175,785.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | Medical Group Management Association |
| PW SURVEY NAME | Provider Compensation Report |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-01 |
