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, 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
  • Dinesh Pubbi, MD

    Caring Physician

    Dr. Dinesh Pubbi is the most caring physician I’ve ever known. He’s genuinely kind, caring, and concerned. He not only asks a lot of questions and he answers a lot of questions, too. Dr. Pubbi runs all the tests that are needed to be sure that everything is as it should be and follows up with explanations and/or recommendations. I trust him to make all the decisions in my care and I recommend Dr. Pubbi to all my family and friends.”

    Caring Physician
  • Christopher Edwards, DOPatient-oriented Cardiologist

    Dr. Christopher Edwards performed my great saphenous vein ablation on my left leg without complication.  His mannerisms and preciseness made this procedure very bearable for me. My follow-up appointment was the same. A great staff, always cheerful and patient-oriented.”

    Patient-oriented Cardiologist
  • AFib Cardiologist

    “I found Dr. Neil Sanghvi to be extremely knowledgeable, understanding and helpful throughout my entire process. He spent as much time as I required in order to educate me on my condition. I felt safe and secure knowing he has knowledge of the new options to treat A-Fib. I did not hesitate in my decision to have him perform my Ablation.”

    AFib Cardiologist
  • “Absolutely the best Cardiologist! Dr. Vincent Caracciolo is so personable and knowledgeable in the field of Cardiology. In my 58 years of seeing Cardiologist, I should know. Dr. 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 nurses are here the best.”

    The Best Cardiologist
  • Dr. David GrechEasy to talk to Cardiologist

    I found Dr. David Grech easy to talk to. He answered all my questions and explained my condition to me. This was my first visit to this medical practice and I was very pleased with Dr. Grech and his office staff at the Palm Coast office.

    Easy to talk to Cardiologist
  • Feeling Blessed with Cardiology Care

    “How blessed I was to be under the care of Dr. Van Crisco during a recent heart cath procedure. He has excellent knowledge and skills in recommending and doing procedures. 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.”

    Feeling Blessed with Cardiology Care
  • Dr Kevin Hayes at Lunch and LearnGreat Jacksonville Cardiologist

    I cannot say enough good things about Dr. Kevin Hayes other than wishing he was also a Family Practice doctor and a Dermatologist so that I wouldn’t have to go see anyone else. His calm and patient bedside manner is exemplary and he makes an effort to keep patient expenses low by not recommending unnecessary procedures. He answers all my questions and is never in a hurry so that I leave the appointments much calmer than when I arrived. I highly recommend Dr. Kevin Hayes.

    Great Jacksonville Cardiologist
  • I Trust My Cardiologists
    “I had the pleasure of meeting Dr. Dinesh Pubbi yesterday for a consult that was referred by Dr. Vincent CaraccioloDr. Vicent Caracciolo and Dr. Dinesh Pubbi. They both took the time to explain my cardiac issue and ordered the necessary tests. Dr. Pubbi reviewed and explained my results with me. At this time I don’t need a defibrillator. I feel at ease that I have 2 cardiologists that have my back. I highly recommend them for any cardiac needs. I know I’m in the right place and trust them which makes me feel relaxed.”

    I Trust My Cardiologists
  • Christopher Edwards, DOCaring and Compassionate Cardiologist in Palm Coast

    I would highly recommend Dr. Christopher Edwards to anyone with cardiac concerns. He is caring and compassionate. He spent as much time as I needed to understand the procedure he was going to perform and after the procedure he spent equally as much time explaining what I needed done to live a longer life. Dr. Edwards found a problem with my heart that had gone undetected, saving my life. Thank you!


    Caring and Compassionate Cardiologist in Palm Coast