Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FELLOWS FORUM, INC.

Filing Information
N23000001535 92-2403487 02/13/2023 FL ACTIVE
Principal Address
ONE BOCA PLACE, 2255 GLADES ROAD, #228W
BOCA RATON, FL 33431
Mailing Address
ONE BOCA PLACE, 2255 GLADES ROAD, #228W
BOCA RATON, FL 33431
Registered Agent Name & Address CHESTNUT BUSINESS SERVICES, LLC
911 CHESTNUT STREET
CLEARWATER, FL 33756
Officer/Director Detail Name & Address

Title DP

RODNEY DANIEL, M.D.
106 STATE STREET EAST
OLDSMAR, FL 34677

Title DCHM

ROBERT LEVIN, M.D.
1831 N. BELCHER RD, SUITE D
CLEARWATER, FL 33765

Title DS

ANDREW RIPPS
ONE BOCA PLACE, 2255 GLADES ROAD, #228W
BOCA RATON, FL 33431

Title DT

YOSHI BARREIRINHAS
1701 HIGHWAY A1A, SUITE 300
VERO BEACH, FL 32963

Title DVP

SUNNY PATEL, M.D.
DFW RHEUMATOLOIGY, 106 PLAZA DRIVE
RED OAK, TX 75154

Annual Reports
Report YearFiled Date
2024 02/08/2024