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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First Coast Heart in the News

New Palm Coast Office Address

First Coast Heart and Vascular New Palm Coast OfficeNew Palm Coast Office Address

We are pleased to announce that effective November 1, 2017, our Palm Coast office has moved to bigger quarters. We have moved across the parking lot. Our new office address is 14 Office Park Drive, Suite 1, Palm Coast, FL 32137.  Our phone number is still 386-446-9966.


  • Dr. David GrechIrreplaceable Cardiologist

    “My experience with Dr. David Grech started in the Cardiac Care Unit at Orange Park Hospital at a terrible time in my life. He was compassionate, straightforward and professional in a way that calmed me and made me sure that I was going to get better. He was not my first Cardiologist but he will definitely be my last. He’s superb, friendly and irreplaceable.”

    Irreplaceable Cardiologist
  • Neil Sanghvi, MDImproved Heart Health Thanks to Dr. Sanghvi

    Dr. Neil Sanghvi patiently explained why I was experiencing symptoms. He clearly explained his recommended course of action. He walked-us-thru the necessary Meds and surgery. He graciously included my wife in all of the recommendations and decisions. He devoted 5-plus hours during a complicated surgery. He immediately debriefed my wife. We are now 19 days removed from surgery, feeling fine, and looking forward to improving health.”

    Improved Heart Health Thanks to Dr. Sanghvi
  • Easy to understand St. Augustine Cardiologist

    Dr. Vincent Caracciolo is a good listener and explains things in plain, easy to understand language, he even draws pictures to help make his point. I like his straight forward, but professional approach. I have already recommended him to a couple of other people already. He is wonderful and knows his stuff. Everyone in his office is extremely friendly and caring.”

    Easy to understand St. Augustine Cardiologist
  • Dinesh Pubbi, MDAFIB doctor

    “Dr. Dinesh Pubbi has been working with my husband’s heart condition atrial fibrillation (AFib) for over 6 years. He is kind and listens to us, but first most ensures that my husband health is never in question. When my husband kept going into A-fib Dr. Pubbi did a 6.5 hour mapping of his heart to burn electrical connections to keep the heart out of AFib. My husband went home the next day and once healed has rarely had any AFib bouts. He is a caring doctor with great skill I would recommend to anyone and have!!”

    AFIB Doctor
  • Dr Kevin Hayes at Lunch and LearnComforting bedside manner

    Dr. Kevin Hayes has the most comforting bedside manner of any physician I’ve been to. He takes his time listening to and answering any questions and never seems to be in a hurry. He can calm down the most nervous patient and does not rush to recommend tests that may not be necessary right away. This has saved me a lot of money, and the same goes for generic medications. He is ethical, kind and competent. Anyone will be in good hands with Dr. Hayes!”

    Comforting bedside manner
  • Van Crisco, MDTriple Stent Patient

    “I probably was not Dr. Van Crisco’s easiest “triple stent insertion” But I am doing quite well following his good work. My recovery is not sudden like some I’ve heard, but with all of my other cardiac issues I have done better and better over time. I am thankful for his patience and hard skillful work. Confident, professional and considerate. Best possible experience before, during and after my procedure.Great doctor!”

    Triple Stent Patient
  • Dr. David GrechIrreplaceable Cardiologist

    “My experience with Dr. David Grech started in the CCU at Orange Park Medical Center at a terrible time in my life. He was compassionate, straightforward and professional in a way that calmed me and made me sure that I was going to get better. He was not my first Cardiologist but he will definitely be my last. He’s superb, friendly and irreplaceable.”

    Irreplaceable Cardiologist
  • Neil Sanghvi, MDGreat Cardiologist and Great Staff

    Dr. Neil Sanghvi is always prompt with appointment times and very personable. He thoroughly explains everything related to your medical situation in a way that you can understand and lays out the best treatment options for optimal healthcare. His staff is attentive and able to quickly meet your needs. They have scheduling down to a science as you never wait very long to get in or check out after your appointment.

    Great Cardiologist and Great Staff
  • Patient Oriented Cardiologist

    Dr. Vincent Caracciolo or Dr. “C” as we fondly call him is one the most patient oriented Dr.’s I have ever seen. He is highly capable, totally professional, excellent with communication, outstanding in every way. And no, I am not a relative of his, only a patient.”

    Patient Oriented Cardiologist
  • Dr. David GrechDr. David Grech is a TOTALLY AWESOME Cardiologist. Thanks to his care, he made sure that I received stents before I had a heart attack. His judgment has been excellent. My wife has been a cardiac nurse for 43 years, and recommended him.  He is friendly and informative, he always makes me feel comfortable. I am blessed. Thank you, Dr. Grech..”

    Totally Awesome Cardiologist
  • Dinesh Pubbi, MD Trustworthy Cardiac Care

    Dr. Dinesh Pubbi is the most patient, kind, warm doctor in his field of Cardiology I have ever had. He takes time to listen and no question you ask goes unanswered, I trust him with my cardiac care and my husband trusts him too..You will not find a better Cardiologist in Florida. He is superb. Dr. Pubbi placed a pacemaker in me almost 3 years ago and I haven’t had a problem with it. He checks it (and me) every 6 months and is always extremely pleasant. I always leave feeling that we are friends. I like that!”

    Trustworthy Cardiac Care
  • Dr. Van CriscoGreat Place for Cardiac Care

    Dr. Van Crisco was incredibly knowledgeable, caring, professional and spent time to answer any questions we had about my upcoming procedure. My experience couldn’t have gone any better.  The St. Augustine office is the best and I love the environment. The staff is great and so is the service of the nurses. All of the staff go over and above with patient care and everything runs like clockwork. I greatly appreciate Dr.Crisco for his knowledge and professionalism. Likelihood of Recommending Dr. Crisco & First Coast Heart is 210%.

    Great Place for Cardiac Care
  • Dr Kevin Hayes at Lunch and LearnHappy Cardiology Patient in Jacksonville

    “I was fortunate to be treated for the first time by Dr.Kevin Hayes back in December 2011 when I was admitted to Memorial Hospital in Jacksonville for health reasons. I was very much impressed and felt fully confident in his treatment of my blood pressure issues. In fact, he is still my Cardiologist!  I like his approach with my health concerns as well as following up with my procedures. I would recommend him to any person looking for a cardiologist.”

    Happy Cardiology Patient in Jacksonville
  • Dr. Neil Sanghvi

    Excellent Electrophysiologist 

    Dr. Neil Sanghvi is an excellent Electrophysiologist. He has done a very good job of walking me thru the steps of my erratic heart problem. I have never noticed anything. I am 72 years’ old and workout 2- 3 hours per day. I have always led a physically active life. I was a rancher, played squash; now I just due one hour of an exercycle, a walk, and one hour of either bodyboarding, swimming laps, or water aerobics daily. My GP Dr. Sanchez picked up my erratic heartbeat on an EKG test. Dr. Sanghvi has taken me thru the conservative procedures first. He is a rare find these days! He listens, recommends … up to date on the latest medical technology. Do not hesitate to make an appointment with Dr. Neil Sanghvi.”

    Excellent Electrophysiologist
  • Down to Earth Cardiologist

    “I love Dr. Vincent Caracciolo! He’s down to earth, caring, explains everything in detail, most importantly, he is easily accessible, very professional and surrounded by professional and caring staff. That’s what you want from your healthcare providers. I truly trust all his recommendations on my continued maintained health experience.”

    Down to Earth Cardiologist
  • Dr. David GrechCardiologist for the Whole Family

    Dr. David Grech has taken care of my whole family including my daughter, my wife, and myself for several years. We have always been more than satisfied with his care for us. My family have recommended Dr. Grech to quite a few people over the years, and some are now patients of Dr. Grech. He takes the time to listen to me and is genuinely interested in my total wellness. I look forward to my yearly visit.

    Cardioloigst for the Whole Family
  • Dinesh Pubbi, MD

    Top notch Cardiologist

    Dr. Dinesh Pubbi installed my defibrillator in August 2010. Since that time I’ve seen Dr. Pubbi on mostly routine visits and found him to be very professional and obviously more than qualified. His bed-side manner is top notch and Dr. Pubbi always takes time to explain things in layman’s terms. He takes as much time to discuss your conditions as one needs. Professional, courteous treatment. Thanks again to First Coast Heart & Vascular Center and it’s excellent team of physicians and staff.”

    Top Notch Cardiologist
  • Dr. Van CriscoConfident Considerate Cardiologist

    “Dr. Van Crisco is the best Cardiologist.  He saved my husband’s life many times he’s thoughtful and kind and he talks to you in a way that is so natural and pleasant. He’s a very gifted Cardiologist and when God made him He made an angel that saves lives. Confident considerate Cardiologist.”

    Confident Considerate Cardiologist
  • Dr Kevin Hayes

    Extremely Helpful Cardiologist

    Dr. Kevin Hayes made me feel very comfortable and he answered all my questions. I just moved into the area and didn’t know any doctors, Dr Hayes was extremely helpful in getting me other doctors in my plan. All the doctors he recommended called me to set up appointments saying Dr Hayes office called them, this was amazing to me. Dr Hayes and his staff are excellent, I would highly recommend First Coast Heart.”

    Extremely Helpful Cardiologist
  • Neil Sanghvi, MDPatient’s Favorite Cardiologist

    “Cardiac care can be extremely scary. Having a doctor that “fits” is vital to your diagnosis, treatment, and recovery. Dr. Neil Sanghvi just “fit” from the very beginning. I was fortunate enough to have been referred to him and would not want anyone else. Unfortunately, I have been given a clean bill of health and only get to see him once a year now. We always remember our favorite teacher or professor……well Dr. Sanghvi is my favorite MD! Put your heart in his hands. You won’t regret it!”

    Patient’s Favorite Cardiologist