Fiscal Year

2022

Case Number

A-21230-32999

Case Status

Certified

Received Date

2021-11-17

Decision Date

2022-05-17

Refile

N

Original File Date

2022-01-01 11:29:26

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

South Broward Hospital District

Employer Name Slug

south-broward-hospital-district

Employer Address 1

3501 Johnson St

Employer Address 2

Employer City

Hollywood

Employer City Slug

hollywood

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33021

Employer Phone

9542657778

Employer Number of Employees

14000

Employer Year Commenced Business

1953

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Angela Primiano

Employer Contact Address 1

3111 Stirling Rd

Employer Contact Address 2

Employer Contact City

Hollywood

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

33312

Employer Contact Phone

9542657778

Employer Contact Email

aprimiano@mhs.net

Agent Attorney Name

Otieno B Ombok

Agent Attorney Firm Name

Jackson Lewis PC

Agent Attorney Phone

9148726895

Agent Attorney Address 1

44 South Broadway

Agent Attorney Address 2

14th Floor

Agent Attorney City

White Plains

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

10601

Agent Attorney Email

Otieno.Ombok@jacksonlewis.com

PW Track Number

P10020289879068

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level III

PW Wage

194126.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-11

PW Expiration Date

2021-06-30

Wage Offer From

205000.00

Wage Offer To

0.00

Average Salary

205000.00

Wage Unit of Pay

Year

Worksite Address 1

Memorial Regional Hospital

Worksite Address 2

3501 Johnson St

Worksite City

Hollywood

Worksite City Slug

hollywood

Worksite State

FLORIDA

Worksite Postal Code

33021

Job Title

Physician, Infectious Diseases

Job Title Slug

physician-infectious-diseases

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

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

Doctoral degree M.D. or D.O. or foreign equivalent. The role requires 3year residency in Internal Medicine; 2year Fellowship training in Infectious Disease plus 1 additional year for transplant trainingcertification transplant ID Track. Also requires Florida State licenseeligibility as M.D. or Doctor of Osteopathic Medicine and Board Eligible.

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

2021-06-02

SWA Job Order End Date

2021-08-01

Sunday Edition Newspaper

Y

First Newspaper Name

SunSentinel

First Advertisement Start Date

2021-07-25

Second Newspaper Ad Name

SunSentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-01

Employer Website From Date

2021-10-19

Employer Website To Date

2021-11-01

Professional Organization Ad From Date

2022-01-01 11:29:26

Professional Organization Advertisement To Date

2022-01-01 11:29:26

Job Search Website From Date

2021-07-29

Job Search Website To Date

2021-08-04

Employee Referral Program From Date

2022-01-01 11:29:26

Employee Referral Program To Date

2022-01-01 11:29:26

Local Ethnic Paper From Date

2021-07-29

Local Ethnic Paper To Date

2021-08-04

Radio/TV Ad From Date

2022-01-01 11:29:26

Radio/TV Ad To Date

2022-01-01 11:29:26

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

ECUADOR

Foreign Worker Birth Country

ECUADOR

Class of Admission

O-1

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

THE UNIVERSIDAD CATOLICA SANTIAGO DE GUAYAQUIL

Foreign Worker Education Institution Address 1

AV. CARLOS JULIO AROSEMENA,

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

GUAYAQUIL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

ECUADOR

Foreign Worker Education Institution Postal Code

90615

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

OTIENO B OMBOK

Preparer Title

ATTORNEY

Preparer Email

OMBOKO@JACKSONLEWIS.COM

Employer Information Declaration Name

Angela PRIMIANO

Employer Information Declaration Title

Vice President, Human Resources