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

Welcome Dr. Christopher Edwards

Welcome Dr. Christopher Edwards First Coast Heart & Vascular Center is pleased to announce that Cardiologist, Christopher Edwards, MD, FACC has joined the practice. Prior to joining First Coast Heart, Dr. Edwards practiced in South Florida. He is board certified in Internal Medicine, Cardiology and Endovascular Medicine. Dr. Edwards has a special interest in peripheral arterial disease…



  • 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
  • Best Cardiologist in St. Augustine

    “I have had some wonderful cardiologists in the past, but Dr. Vincent Caracciolo in St. Augustine is the best. He has checked for and found an aneurysm that no one had caught before. I just feel confident in his care and that’s a feeling we all want.The best physician experience period and his staff is wonderful!”

    Best Cardiologist in St. Augustine
  • Amazing Cardiologist in Palm Coast

    Dr. David Grech“I am so happy to have met Dr. David Grech. He spent a lot of time with me and made me feel comfortable… a real pleasure to work with him.. He was very easy to talk to. He is very thorough and personality plus.  Both my husband and I like him very much and feel confident with him.Great Doctor!”

    Amazing Cardiologist in Palm Coast
  • Complete confidence in my Cardiologist

    “I have been seeing Dr. Dinesh Pubbi since my heart attack several years ago when he implanted my AICD device at Memorial Hospital. When he, Dr. David Grech and several other cardiologists started their new practice, I had my insurance company transfer me to their new practice. I enjoy my visits and always feel more at ease after each one. I always recommend him to my friends and family that ask about my cardiac treatment.”

    Complete Confidence in My Cardiologist
  • Dr Kevin Hayes Jacksonville Cardiologist

    Dr. Kevin Hayes Jacksonville Cardiologist

    Dr. Kevin Hayes is a pleasure. I like him very much, he is patient when explaining your issues. He speaks with you using easily understandable terminology and has a caring, common sense approach. Before & after major heart surgery Dr. Hayes had a very calming reassuring demeanor. I value his opinion and look forward to maintaining our patient/doctor relationship.”

    Dr. Kevin Hayes Jacksonville Cardiologist
  • Dr. Neil Sanghvi

    Her heart is in good hands with Dr. Neil Sanghvi

    “I have been a patient of 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.The office staff is great. The office is clean and the staff eagerly helps patients with anything they need. If my pacemaker needs to be read, Dr. Sanghvi has all the right equipment in his office. Of all the cardiologist’s I have been to, I would say he is the best. I am glad my heart is in good hands with Dr. Neil Sanghvi.”

    Her heart is in good hands with Dr. Neil Sanghvi
  • 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 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