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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  • 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
  • Dr. David GrechDr. David Grech is a great cardiologist and is always very pleasant which makes him easy to communicate with about my concerns. He really takes time to listen to what his patients say and answers questions in great detail. He is very thorough with patient history and family history. He is also very meticulous about explaining every test and the results of each test. He is also very good at putting a person who is scared about their condition at ease. I have to also add that the nurses and other staff members are excellent.

    Great Cardiologist
  • Dr. Van Crisco“From the first time that I met Dr. Van Crisco I felt like we were friends and that he genuinely cared about me! After our first visit and our discussion about the procedure that I needed I felt very confident that he and by his recommendation, his team of doctors would do everything they could to help me.  I feel so blessed to have been under Dr. Crisco’s care and would recommend him to anyone that needs a very competent and caring doctor. If you have a major cardiac crisis, Dr. Crisco is THE physician to go to.”

    Physician for Major Cardiac Crisis
  • Dr. Kevin Hayes
    Valued Patient Doctor Relationship
    “I first met Dr. Kevin Hayes in 2013 at Memorial Hospital where I had been admitted with viral pneumonia. I stayed in the hospital for 5 days with Dr. Hayes treating my condition. I had trouble breathing and I was coughing but no fever; after various tests I was diagnosed with COPD. Dr. Hayes was key in getting me under the care of a lung doctor. I value his opinion and look forward to maintaining our patient/doctor relationship…..”
    Valued Patient Doctor Relationship
  • Dr. Dinesh Pubbi“Dr. Dinesh Pubbi literally saved my life, and he was able to explain my condition to me in a way I could understand. He was very compassionate and always made me feel that he was doing everything he could to help me. He alway took whatever time was necessary to explain all my tests and reports.If I hadn’t moved out of state, he’d still be my doctor.”

    Dr. Pubbi Literally Saved My Life
  • Dr. Caracciolo best patient friendly manner“Fantastic St. Augustine Cardiologist. Dr.Vincent Caracciolo is a fantastic Cardiologist! He took his time with me and explained everything to me.He encouraged me to lose weight. I’am happy to say,I lost the weight and got off the blood pressure medicine he had me on!I never felt so good! I really trust him with my health. I highly recommend Dr. Caracciolo!”

    Fantastic St. Augustine Cardiologist
  • Mkic R. Seawell, MD“Dr. Michael Seawell stays up to date on the latest medical developments and is a great cardiologist. Very smart, easy to talk with and full of humanity and caring. He spent some time educating me. Despite being on Medicare; I am not a two minute patient. He walked me through some of the complex procedures he does everyday to save lives. Now I’m not worried any more and feel perfectly comfortable and trusting. I left after the first visit feeling confident that I had placed myself in good hands…”

    Up to date Cardiologist
  • Dr. Neil Sanghvi“Dr. Neil Sanghvi performed an ablation on my heart in January of 2015 and I have been AFib free since. I would highly recommend him to any heart patient because of his expertise, caring demeanor, and knowledge of AFib & the heart’s functions. He calmed all the anxiety I had prior to the procedure with his thorough explanation of the operation. Dr. Sanghvi is a wonderful doctor.”

    AFIB Free
  • hayes-at-3-2-lunch-and-learn-3“Dr. Kevin Hayes is an open and honest healthcare provider.I have been very pleased with my experiences with Dr. Hayes. He is very thorough and is willing to take the time to explain his thoughts and answer any questions I have. He is very willing to run tests if he thinks they are needed but does not just run them just in case. He is always seems to have a positive attitude. I would highly recommend Dr. Hayes to anyone seeking a Cardiologist”

    Honest Healthcare Provider