FRS Facility Detail Report


JACKSON MEMORIAL HOSPITAL

EPA Registry Id: 110007414244
1611 NW 12TH AVE
MIAMI, FL 33136-1096


The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System System Facility Name Information System Id/Report Link Environmental Interest Type Data Source Last Updated Date Supplemental Environmental Interests:
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
JACKSON MEMORIAL HOSPITAL FLD981474216 LQG (Y) RCRAINFO

AIR FACILITY SYSTEM
JACKSON MEMORIAL HOSPITAL 1202500232 AIR SYNTHETIC MINOR (OPERATING) AIRS/AFS 09/12/2014
FLORIDA - FIESTA DATA MAINTENANCE
JACKSON MEMORIAL HOSPITAL 17773 STATE MASTER FLORIDA DEP
CHAZ-FLD981474216
HAZARDOUS WASTE PROGRAM
ICIS-AIR (AIR)
JACKSON MEMORIAL HOSPITAL FL0000001202500232 AIR SYNTHETIC MINOR ICIS 05/16/2016
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
JACKSON MEMORIAL HOSPITAL - ED EXPANSION AND RENOVATION FLR10XA70 STORM WATER CONSTRUCTION ICIS 08/10/2024
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
JACKSON MEMORIAL HOSPITAL FLR10UF00 ICIS-NPDES NON-MAJOR ICIS 03/25/2021
EMISSION INVENTORY SYSTEM (EIS)
JACKSON MEMORIAL HOSPITAL 3532811 AIR SYNTHETIC MINOR EIS 11/15/2024
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
JACKSON MEMORIAL HOSPITAL FLR10UF00 STORM WATER CONSTRUCTION ICIS 03/25/2021
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
JACKSON MEMORIAL HOSPITAL - ED EXPANSION AND RENOVATION FLR10XA70 ICIS-NPDES NON-MAJOR ICIS 08/10/2024
BIENNIAL REPORTERS
JACKSON MEMORIAL HOSPITAL FLD981474216 HAZARDOUS WASTE BIENNIAL REPORTER RCRAINFO 12/31/2021
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
JACKSON MEMORIAL LYNN REHAB FLR20BN18 ICIS-NPDES NON-MAJOR ICIS 08/03/2017
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
JACKSON MEMORIAL LYNN REHAB FLR20BN18 STORM WATER CONSTRUCTION ICIS 08/03/2017

Additional EPA Reports:  

MyEnvironment  Enforcement and Compliance  Facility Coordinates Viewer  Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source SIC Code Description Primary
AIRS/AFS
OWNE



FDM
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

AIR
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

AIR
OWNE



AIRS/AFS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

Facility Codes and Flags

EPA Region: 04
Duns Number:
Congressional District Number: 24
Legislative District Number: SE
HUC Code/Watershed: 03090202 / EVERGLADES
US Mexico Border Indicator:
Federal Facility: NO
Tribal Land: NO

Alternative Names

Alternative Name Source of Data
JACKSON HEALTH SYSTEMS FDM

Organizations

Affiliation Type Name DUNS Number Information System Mailing Address
MAILING ADDRESS
JACKSON MEMORIAL HOSPITAL
NPDES
View
NOTIFIER
JACKSON MEMORIAL HOSPITAL
FDM
View
OPERATOR
PUBLIC HEALTH TRUST
FDM
View
NOTIFIER
JACKSON HEALTH SYSTEMS
FDM
View
OWNER
METROPOLITAN MIAMI DADE COUNTY
FDM
View
OWNER
PUBLIC HEALTH TRUST
FDM
View
OWNER
METROPOLITAN MIAMI DADE COUNTY
RCRAINFO
View

National Industry Classification System Codes (NAICS)

Data Source NAICS Code Description Primary
AIRS/AFS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
RCRAINFO 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
FDM 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
EIS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
AIR 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.

Facility Mailing Addresses

Affiliation Type Delivery Point City Name State Postal Code Information System
FACILITY MAILING ADDRESS 1611 NW 12TH AVE MIAMI FL 33136-0000 RCRAINFO
OPERATOR 1611 NW 12TH AVE MIAMI FL 33136-0000 RCRAINFO
OWNER 1611 NW 12TH AVE MIAMI FL 33136-0000 FDM
REGULATORY CONTACT 1611 NW 12TH AVE MIAMI FL 33136-1096 RCRAINFO
OWNER 1611 NW 12TH AVE MIAMI FL 33136-0000 RCRAINFO
RESPONSIBLE PARTY 12 ISLAND ESTATES PKWY PALM COAST FL 321372202 FDM
NOTIFIER 1611 NW 12TH AVE MIAMI FL 33136-0000 FDM
FACILITY SITE CONTACT 1611 NW 12 AVE MIAMI FL 33136 FDM
OPERATOR 1611 NW 12TH AVE MIAMI FL 33136-0000 FDM
MAILING ADDRESS 1611 NW 12TH AVE MIAMI FL 33136-0000 NPDES
FACILITY SITE CONTACT 1611 NW 12TH AVE MIAMI FL 33136-0000 FDM
MAILING ADDRESS 1611 NW 12TH AVE MIAMI FL 33136-0000 FDM
FACILITY SITE CONTACT 1500 NW 12TH AVE MIAMI FL 33136-1005 FDM

Contacts

Affiliation Type Full Name Office Phone Information System Mailing Address
OWNER
RANDY SENECAL


FDM
View
FACILITY SITE CONTACT
DOMINIC S MINARDI
305-585-2903 X2
FDM
View
REGULATORY CONTACT
DOMINIC S MINARDI
305-585-2964
RCRAINFO
View
PRIMARY CONTACT
PETER CORMIER
4042740967
NPDES


FACILITY SITE CONTACT
NANCY ACEBAL


FDM
View
REGULATORY CONTACT
DOMINIC S MINARDI
305-585-2903 2
RCRAINFO
View
REGULATORY CONTACT
DOMINIC S MINARDI
305-585-2903 X2
RCRAINFO
View
FACILITY SITE CONTACT
WAYNE FERDINAND
3055856107
FDM
View
PRIMARY CONTACT
ISA NUNEZ
7862775087
NPDES


REGULATORY CONTACT
DOMINIC S MINARDI
305-585-2903 2
RCRAINFO


FACILITY SITE CONTACT
DON ROECK
3055857270
FDM
View
NOTIFIER
WILLIAM HARRIGER


FDM
View
RESPONSIBLE PARTY
LARRY WILLIAMS
3053256474
FDM
View

Query executed on: OCT-14-2025