Fiscal Year

2019

Case Number

A-19109-95217

Case Status

Certified

Received Date

2019-05-22

Decision Date

2019-07-08

Refile

Original File Date

2019-01-01 14:13:43

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

INTENSIVE CARE CONSORTIUM, INC

Employer Name Slug

intensive-care-consortium-inc

Employer Address 1

1875 NW CORPORATE BLVD

Employer Address 2

STE 207

Employer City

BOCA RATON

Employer City Slug

boca-raton

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33431

Employer Phone

5319970821

Employer Number of Employees

206

Employer Year Commenced Business

2005

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

Hammond Law Group, LLC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Cincinnati

Agent Attorney State/Province

OHIO

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10018332073129

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

134.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

0

PW Expiration Date

0

Wage Offer From

370200.00

Wage Offer To

0.00

Average Salary

370200.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Margate

Worksite City Slug

margate

Worksite State

FLORIDA

Worksite Postal Code

33063

Job Title

Physician (Intensivist)

Job Title Slug

physician-intensivist

Minimum Education

Other

Major Field of Study

Medicine/ Surgery

Required Training

Y

Required Experience

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

0

SWA Job Order End Date

0

Sunday Edition Newspaper

Y

First Newspaper Name

Sun Sentinel

First Advertisement Start Date

0

Second Newspaper Ad Name

Sun Sentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

0

Employer Website From Date

0

Employer Website To Date

0

Professional Organization Ad From Date

0

Professional Organization Advertisement To Date

0

Job Search Website From Date

0

Job Search Website To Date

0

Employee Referral Program From Date

2019-01-01 14:13:43

Employee Referral Program To Date

2019-01-01 14:13:43

Local Ethnic Paper From Date

2019-01-01 14:13:43

Local Ethnic Paper To Date

2019-01-01 14:13:43

Radio/TV Ad From Date

2019-01-01 14:13:43

Radio/TV Ad To Date

2019-01-01 14:13:43

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

VENEZUELA

Foreign Worker Birth Country

VENEZUELA

Class of Admission

O-1

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

1993

Foreign Worker Institution of Education

UNIVERSIDAD CENTRAL DE VENEZUELA ESCUELA LUIS RAZETTI

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

ATTORNEY

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

Chief Operating Officer