Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Howell Pruden IV, MD

Individual provider Urology Physician · NPI 1457492233

Charles Howell Pruden IV, MD is an Urology Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

710 Lomax St
Jacksonville, FL 32204-4004
Phone: (904) 355-6583
Fax: (904) 355-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME86675 (FL)

Record details

NPI number1457492233
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMay 8, 2008

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