Medical Services

Comprehensive Care

First Coast Heart & Vascular Center is a comprehensive cardiology practice that provides contemporary, evidence based and compassionate care to our patients.

Our board certified Cardiovascular Specialists are experienced in a variety of sub-specialties including:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Endovascular Medicine
  • Peripheral Vascular
  • Electrophysiology
  • Cardiac Imaging

At First Coast Heart & Vascular Center, our cardiologists have trained at some of the world’s best institutions including the Cleveland Clinic, Cornell University, and Emory University.

We are committed to excellence in patient care by actively participating in regional and national meetings. We are dedicated to improving the level of cardiovascular care available to our patients by participating in clinical national research trials, allowing us to offer our patients quality care through new and emerging technologies.

Facility Accreditations                                       Physician Societies

acr ultrasound facilityAccredited Echo Facility accredited nuclear facility american board of medicine heart-rhythm-society-Society for Cardiovascular Angiography and Interventionsamerican-college-of-cardiology-105x105


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Recent News


  • Cath Lab with Dr. Van Crisco

    Heart Procedure with Dr. Van Crisco

    “How blessed I was to be under the care of Dr. Van Crisco during a recent heart procedure. His professional and knowledgeable manner eased any and all fears and concerns. The comfortable, easy way he has about him was a great “fear reducer” as he patiently answered all my questions, leaving me not only prepared for the procedure, but peaceful and calm as well.”

    Heart Procedure with Dr. Van Crisco
  • Knowledgeable and Caring CardiologistKnowledgeable and Caring Cardiologist

    “I have always found Dr. Vincent Caracciolo to be a knowledgeable and caring Cardiologist. He listens and explains things so you can understand what you need to know. He walks into the room with that smile and right away you feel as if everything is going to be better. Sounds silly but you just know that he cares and has the knowledge to solve your heart problems. I am so glad that he is he is here in St Augustine. All of the staff at First Coast Heart & Vascular are very capable and caring.I would definitely refer my friends and family to him. “

    Knowledgeable and Caring Cardiologist
  • Dr. Dinesh Pubbi“Dr. Dinesh Pubbi has been our family’s cardiologist almost 8 years now. We love him and respect his opinion. Could not have asked for better care. My mother is also his patient and she always says she wishes all doctors could be as kind and caring as Dr. Pubbi! His staff is amazing and his scheduling person, Mahla is an absolute miracle worker. She makes things happen. Wish all offices had such a great team!”

    Our Family’s Cardiologist
  • Dr Kevin Hayes at Lunch and LearnCardiologist for Mom

    “Dr. Kevin Hayes was my 92 year old mother’s cardiologist for 5 years. His positive support was always so encouraging to her. She always left her visits with him smiling and hopeful.”

    Cardiologist for Mom
  • Dr. David Grech

    Visiting My Cardiologist

    “It’s a wake up call to visit my cardiologist … always hard to imagine that I’m not a youngster anymore. As I went through the full check up with Dr. David Grech and the team at First Coast Heart & Vascular Center, I was impressed with their efficiency, and Dr. Grech’s kindness and interest. All done, I had a very good report, for which I’m super grateful. I would highly recommend Dr. Grech and the First Coast Heart & Vascular Center team.”

    Visiting My Cardiologist
  • Dr. Van Crisco

    First Coast Heart treats the whole family

    Dr Van Crisco recently saved a family member’s life and he kept us informed and truly cared for all of us. Our whole family sees First Coast Heart and we are very happy with them as they work together to meet each of our individual needs. Dr Crisco is straight forward and attentive.”

    First Coast Heart Treats the Whole Family
  • Dr. Neil SanghviGreat Cardiologist in Jacksonville

    “I have been seeing Dr. Neil Sanghvi since 2014. The most recent visit was this morning. I always feel much better after meeting with him. He is very warm, professional, and competent. Dr. Sanghvi gets right to the point. I am glad my heart is in such good hands. I would recommend him to any one, he’s a great Cardiologist.”


    Great Cardiologist in Jacksonville
  • Dr. Caracciolo best patient friendly manner

    St. Augustine Caring Cardiologist

    “I am dealing with multiple health issues and Dr. Vincent Caracciolo has put me at ease when it comes to my heart issue. He referred me for heart surgery which was necessary and has followed up extensively. There is no other cardiologist I would go to and have referred close friends to see him. We thank the Lord every day for the wonderful, caring doctor he is and pray he has a long and successful practice.”

    St. Augustine Caring Cardiologist
  • Dr. David GrechCardiologist in Palm Coast
    “I am so happy to have met Dr. David Grech. He is so easy to talk to about my heart issues.He puts me at ease every time that I have seen him. His “bedside manner” is good. At the first meeting we discussed “What might be causing ‘this'”. At the second meeting we discussed my test results. Dr. Grech is a wonderful cardiologist. He is very thorough and personality plus. I would recommend him to anyone looking for a cardiologist in Palm Coast.”
    Cardioloigst in Palm Coast
  • Dr. Dinesh PubbiHighly Recommended Cardiologist
    “I have never met a more compassionate cardiologist in Florida. He is an amazing doctor who listens, and always puts the patient first. Not only do his patients get the best quality care, but his staff speaks very highly of him which says a lot! I highly recommend Dr. Dinesh Pubbi to others if they are in need of a Cardiologist!”
    Highly Recommended Cardiologist
  • Dr. Kevin Hayes

    Calming, Compassionate Cardiologist in Jacksonville, FL

    “I would recommend Dr. Kevin Hayes because he is so calming and compassionate towards his patients. This is especially important for some like me who suffers from anxiety. He is very thorough and takes his time with his patients. He is an amazingly brilliant physician. I have followed him every where he practiced and would never change to another cardiologist because of his awesome care towards me. I don’t ever want another cardiologist.”

    Calming Compassionate Cardiologist
  • Dr. Van Crisco

    Jacksonville Cardiologist Abdominal Aortic Aneurysm Stent Repair

    “I had read high reviews of Dr. Van Crisco before my abdominal aortic aneurysm stent repair. He exceeded my expectations by far. He explained my upcoming procedure very thoroughly and answered all of my questions. He did a great job with my stent repair and I would highly recommend Dr. Van Crisco. One of the best doctors I have ever encountered. If you have a major cardiac crisis, Dr. Crisco is THE Cardiologist to go to. He makes it clear that he really cares about his patients.”

    Jacksonville Cardiologist Abdominal Aortic Aneurysm Stent Repair
  • Dr. Neil SanghviPatient’s heart is out of AFib  – “Dr. Neil Sanghvi gets my vote. He is very experienced, professional and knows his stuff. He is courteous and takes the time to explain the various procedure options, pros and cons and will answer all of your questions. He returned my heart to normal rhythm which had been in AFib for over a year. This has greatly improved my quality of life. He took care to ensure that I completely understood my condition and the risks and benefits of the various procedures. I felt that I could trust him from the first time that we met. I never felt rushed during an appointment, he always took whatever time was necessary. I highly recommend Dr. Neil Sanghvi.”

    Patient’s heart is out of AFib
  • Dr. Caracciolo best patient friendly mannerDr. Caracciolo the best Cardioloigst in St. Augustine
    “I retired with 40+yrs experience as an RN in October 2015 and moved to St. Augustine. January 2016 I developed chest pain with increasing severity. I didn’t know any physicians in St. Augustine. I chose my PCP from the internet who referred me to Dr. Vincent Caracciolo. Though aware of my background he took the time to explain everything pre/post heart cath. I respect that he didn’t hesitate to call in a 2nd opinion to help me avoid open heart surgery. He cared about me, my needs and the best approach. Bottom line no open heart, I’m fine. He’s the best.”

    Dr. Caracciolo the best Cardiologist in St. Augustine
  • Dr. David GrechHighly Recommended Cardiologist in Palm Coast

    “Dr. David Grech was highly recommended my family physician. I agree. I find him to be a very caring and friendly doctor who really cares about your condition. He takes the time to thoroughly explain your medical problem so that you can understand and will answer my many questions. Dr. Grech was professional and informative with straightforward and complete communication. I liked his manner and attitudes.”

    Highly Recommended Cardiologist in Palm Coast
  • Dr. Van CriscoDr. Van Crisco treated my husband’s PAD (peripheral artery disease). He put another stent in his leg and ballooned out the other arteries. It was the first time we had met him and liked him immediately. He was very straight forward with us and gave me the complete description of the blockages he found in my husband’s leg. He seemed extremely knowledgeable and honest with me. My husband’s leg feels good today which is the first time in about six months thanks to Dr. Van Crisco.”

    Dr. Van Crisco treated my husband’s PAD
  • Dr. Dinesh Pubbi“Dr. Pubbi is my hero! He has implanted a pacemaker and has replaced one lead since 2011. He is one of the best doctors (not just cardiologist) I have ever been to. He listens and treats you as an intelligent individual, not just a body. When I leave an appointment, I feel I am valued as a person and not just income. I have never experienced anything other than courtesy and professionalism from Dr. Dinesh Pubbi and I will continue to sing his praises to any and all who need a cardiologist.”
    Dr. Pubbi is my hero!
  • Dr. Neil Sanghvi“I met Dr. Neil Sanghvi in the ER. He was the doctor on call. I was so lucky to get him. He is a very thorough and professional cardiologist. As a new patient, I immediately felt at ease. He was so thoughtful and made me feel as if he could spend time with me. He gave me time to talk to him and then after the exam and told me what he thought might be my problem and then talked over the next steps to find out the best treatment for me. He always asked if there were any questions before he left.”

    Through and Professional Cardiologist
  • Dr. Caracciolo CardiologistTop Notch Cardiologist in St. Augustine

    “Although we live in Palm Coast driving to St. Augustine to the First Coast Heart & Vascular Center is well worth the drive.
    The office staff and facility is top notch and Dr. Vincent Caracciolo is irreplacable!  I thank the Lord every day that we put our faith in Dr. Caracciolo and he has done an amazing job.
    We have already referred friends and will continue to do so.”

    Top Notch Cardiologist in St. Augustine
  • Mkic R. Seawell, MD“Dr. Michael Seawell is an amazing caring cardiologist. He was absolutely amazing with the care he gave my mother. His staff was also welcoming and attentive to us both. He is very respectful and knowledgeable. Dr. Seawell made my mother feel confident and secure that everything would be alright.”

    Amazing Caring Cardiologist