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 Harvard, The Cleveland Clinic, Cornell University, University of California – San Francisco Medical Center 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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First Coast Heart in the News

Bringing New EP Technology to St. Augustine

Bringing new EP Technology to St. Augustine Great News about Dr. Neil Sanghvi and Flagler Hospital in St. Augustine. Together we are creating a new EP lab and ablation program. Flagler Hospital has committed resources to build a 1,000 square foot, state of the art hybird EP lab. The goal is to create one of…


The Link between Heart Disease and Diabetes

The majority of people living with diabetes understand that they have an increased risk of cardiovascular disease. But the following statistics show clearly that there is a strong link between heart disease and diabetes. As many as 68 percent of people age 65 and older with diabetes die from some form of heart disease.  Approximately…



  • Dinesh Pubbi, MDFamily Cardiologist

    I have always been impressed with Dr. Dinesh Pubbi’s willingness to listen and doesn’t rush you through your appointment. He is also my husband’s cardiologist and was clear in his explaining the procedures he would be doing to implant his pacemaker. When I asked a simple question on the day after a follow-up appointment, the doctor keyed in on my symptoms, ordered tests and found I have afib. I would recommend him to anyone.

    Family Cardiologist
  • Neil Sanghvi, MD

    Jacksonville Electrophysiologist

    After moving to the Jacksonville area, I needed to find a new electrophysiologist. After researching them online, education, background, and other patient’s reviews, I, fortunately, settled with Dr. Neil Sanghvi. I’ve been with him for about a year and a half. Very satisfied, no complaints would recommend him to friends and family.

    Jacksonville Electrophysiologist
  • Dr. David GrechCaring Cardiologist in Palm Coast

    Dr. David Grech is a very caring cardiologist. He listens to everything you say, takes time to evaluate. He has a good staff, and excellent credentials. He was recommended to me by other patients that are very happy with his care. I thinks he’s a wonderful Doctor.

    Caring Cardiologist in Palm Coast
  • “I have said it before and will say it again, Dr. Kevin Hayes has the most comforting and reassuring bedside manner of any physician that I know. His calm manner puts even the most nervous patient at ease and he takes the time to listen and answer all questions and concerns, and never recommends unnecessary medications or procedures. Patients always feel welcome to contact the office anytime. I highly recommend Dr. Hayes!”

    Reassuring bedside manner
  • Dr. Van CriscoRecommend Dr. Van Crisco

    Dr. Van Crisco has been great with both myself and my husband. We are very happy with the care he is giving to both of us. We have had excellent care by Dr. Crisco would recommend him to all our family and friends.

    Recommend Dr. Van Crisco
  • Dr. Vincent Caracciolo has been my Cardiologist for over 8 years. My health is good so I do not see him very often. Because I had an older sister who died early from heart failure, I have always had check ups to make sure my heart is sound. Since I moved to Florida, he has been my only heart doctor. He came recommended from a member of my family who is also in the medical profession. Their screening tests were better than I have received from other caregivers. I am sure to recommend Dr Caracciolo (Dr. C) to anyone who would be looking for an excellent Cardiologist.

    Excellent Cardiologist
  • Michael Koren MDExpert Cardiologist in Jacksonville

    Always friendly, knowledgeable, an expert in his field of Cardiology. Dr. Michael Koren fully keeps me informed about the best treatment and care and what is going on with my heart.

    Expert Cardiologist in Jacksonville
  • What a nice man and good doctor Dr. Christopher Edwards is! I’m old, female and opinionated. He listened to me. If I was wrong, he gently steered me in the right direction. Go see him; you will like him!Christopher Edwards, DO

    Good Doctor
  • Neil Sanghvi, MDCaring Cardiologist

    I had my first appointment this week with First Coast Heart; everyone was extremely nice. I was referred to Dr. Neil Sanghvi by my primary care doctor. I look forward to the continued care from both of them. They really do care about their patients and I look forward to a better quality of life with them. Dr. Sanghvi really seems to be a caring cardiologist, he listens, and he’s not in a hurry to get done with you.

    Caring Cardiologist
  • Dinesh Pubbi, MDCaring Professional Cardiologist

    I have been extremely pleased with Dr. Dinesh Pubbi’s handling of my heart issue since I first visited him over three years ago. He is a caring, careful professional cardiologist who has his patients health as his first priority. I would encourage any and all of my family and friends with heart issues to consult with him.

    Caring Professional Cardiologist
  • Dr. Kevin Hayes, DOCaring Cardiologist in Jacksonville

    “I have been a patient of Dr. Kevin Hayes since 2009 and he is one of the best , most caring, knowledgeable doctors I have ever seen. I would recommend him to anyone who needs a cardiologist and I have sent several of my family members to see him. I truly believe that I wouldn’t be here today if I hadn’t met Dr. Hayes 9 years ago. If you need a great cardiologist make an appointment with Dr. Hayes.”

    Caring Cardiologist in Jacksonville
  • Dr. Van CriscoCalm and Confident Cardiologist

    Dr. Van Crisco exudes a calm confidence- putting me at ease over my heart condition and treatment options. I appreciated his candor and ease of explaining things ( treatment procedures) to me. Considering the scenario I was introduced to him – I was put at ease almost immediately.

    Calm and Confident Cardiologist
  • We Love Dr. C!

    We love Dr. C (Dr. Vincent Caracciolo), he listens, he looks you in the eye, he makes sure that you understand everything what he is discussing with you. He is clearly very smart & knowledgeable & he creates an environment in which you as the patient feel very comfortable & well taken care of. We have found all the doctors in this practice, First Coast Heart to be like that, it is truly very remarkable. You have a practice where each doctor is smart, kind,& very caring of their patients!

    We Love Dr. C
  • Michael Koren MDExpert Cardiologist

    “I have been a patient of Dr. Michael Koren for over 15 years. He is an expert in his field of Cardiology and I trust him implicitly. His knowledge and training are top notch. He is a great listener and takes the time to respond to my questions. When you are his patient, you are part of his family. His ARNP, Margaret Gannaway, is exceptional with a compassionate and generous heart. They make an incredible team. They have literally saved my life and I am forever grateful.”

    Experienced Cardiologist
  • Christopher Edwards, DO

    Thorough Cardiologist in Palm Coast

    Dr. Christopher Edwards is very thorough. He ordered all testing needed to confirm/rule out suspected diagnosis. He was very professional and courteous. I recommend Dr. Edwards to anyone who wants a complete evaluation of medical concerns.”

    Thorough Cardiologist in Palm Coast
  • Dr. David GrechHealthy Cardiac Outcome

    It was a pleasure to meet Dr. David Grech and discuss my cardiac issues. Due to a change in my home location, I researched available Cardiologists local to Palm Coast and decided Dr. Grech was a good fit due to his qualifications, my needs and the office location. Dr. Grech listened carefully to my history and we discussed the various tests that I already submitted. Following that, we decided on a good course of future direction that will ensure a healthy cardiac outcome.

    Healthy Cardiac Outcome
  • Dr. Neil SanghviHappy with my new Cardiologist

    Dr. Neil Sanghvi was referred to me by my former Cardiologist from Chicago and I am very happy with him as my new Cardiologist.  I like the staff and the facility, easy to get too, appointments are easy to make and the staff is very professional. I have fired a couple of doctors for having unorganized and discourteous staff, so this is very important to me. He’s a great doctor, sits and talks during visits, gets information on my general health and lifestyle. I highly recommend him and First Coast Heart.

    Happy with my new Cardiologist
  • Van Crisco, MDLife Saving Cardiologist
    Dr. Van Crisco saved a family member’s life recently and he kept us informed and truly cared for all of us. Our whole family sees this practice and we are very happy with them as they work together to meet each individual’s needs. Dr. Crisco is straightforward and attentive. He has great bedside manners. 
    Life Saving Cardiologist
  • Dr Kevin Hayes at Lunch and Learn

    Great Cardio Care

    Dr. Kevin Hayes is very knowledgeable in the world of Cardiology and has made excellent recommendations of other surgeons to preform my heart valve repair. He has very nice manners and is considerate of my feelings. I would recommend his office for excellent all around cardio care. He is a great doctor and he listens, he cares, and he’s always on the side of the patient. Whether it be cost factors, time concerns, or future treatment, he’s clearly dedicated in assisting the patient with their concerns and future needs.

    Great Cardio Care
  • St. Augustine Caring Cardiologist

    Dr. Vincent Caracciolo is compassionate and caring. He takes time to explain your condition in terms that you can understand. He tells it like it is. His office runs very efficiently. You are seen within a few minutes of your scheduled appointment time. The St. Augustine nurses are the best.

    St. Augustine Caring Cardiologist