| CASE NUMBER | I-200-24299-432547 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/25/2024 |
| DECISION DATE | 11/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Anatomic Pathologist |
| SOC CODE | 29-1222.00 |
| SOC TITLE | Physicians, Pathologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/28/2025 |
| END DATE | 3/27/2028 |
| 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 | H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE LIFETIME CANCER SCREENING CENTER, INC |
| TRADE NAME DBA | D/B/A MOFFITT MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 12902 USF MAGNOLIA DR |
| EMPLOYER ADDRESS2 | MAIL STOP MTP-HR |
| EMPLOYER CITY | TAMPA |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33612 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18137450150 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622310 |
| EMPLOYER POC LAST NAME | Bautista |
| EMPLOYER POC FIRST NAME | Johanna |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | IMMIGRATION ADVISOR |
| EMPLOYER POC ADDRESS1 | 12902 USF MAGNOLIA DRIVE |
| EMPLOYER POC ADDRESS2 | MAIL STOP: MTP-HR |
| EMPLOYER POC CITY | TAMPA |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33612 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18137450150 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Johanna.Bautista@moffitt.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | BOROVSKA |
| AGENT ATTORNEY FIRST NAME | Yova |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 401 E. JACKSON STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 2400 |
| AGENT ATTORNEY CITY | TAMPA |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18132228180 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | YOVA.BOROVSKA@BIPC.COM |
| LAWFIRM NAME BUSINESS NAME | BUCHANAN INGERSOLL AND ROONEY PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 12902 USF Magnolia Dr. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Tampa |
| WORKSITE COUNTY | HILLSBOROUGH |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33612 |
| WAGE RATE OF PAY FROM | $287,601.60 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $247,562.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-03-28 |
