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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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…



  • Orange Park Cardiologist

    I once changed my insurance just so I could continue going to Dr. Gayle Martin for Cardiology care. She is gentle, knowledgeable, and she does not hurry me, allowing me to ask questions. I have been going to her for many years. She is great! Dr. Gayle Martin

    Orange Park Cardiologist
  • Michael Koren MDCardiologist in Jacksonville

    I was advised some years ago as my mother was dying of heart failure to see a cardiologist. My General Practitioner recommended Dr. Michael Koren, and I couldn’t be happier. He is thorough, responsive, and looking for the long run health of his patient. Margaret is always responsive as well and puts the technical information in context for the layperson. I have responded well to the treatments and am very secure in my ongoing health thanks to these professionals.

    Cardiologist in Jacksonville
  • Christopher Edwards, MD, FACCExcellent Cardiologist in Palm Coast

    Dr. Christopher Edwards is an excellent doctor, friendly and knowledgeable. The is very timely to get you in and out. He pays attention to concerns of his patients and is thorough in finding problems.

    Excellent Cardiologist in Palm Coast
  • Dr. David Grech

    Palm Coast Cardiologist

    I recently changed my Cardiologist to Dr. David Grech and it was one of the best decisions I have made. My first visit with him was very comfortable and he put me at ease with his demeanor and bedside manner. He has excellent communication skills–he did not talk down to me since my level of medical knowledge is much smaller than his. He is pleasant and very professional. I didn’t feel pressured that he needed to move on to his next patient. He took up the time with me that I needed to understand and digest my health, diagnosis and his plan for my future care.

    Palm Coast Cardiologist
  • Dr. Kevin Hayes, DOCardiologist with Reassuring Bedside Manner

    Dr. Kevin Hayes is phenomenal. I can’t say enough about his kind and reassuring bedside manner. He is very encouraging in helping you plan for your future health needs.  I would recommend him to anyone who needs a cardiologist. If you need a great cardiologist make an appointment with Dr. Kevin Hayes. 

    Cardiologist with Reassuring Beside Manner
  • Dr. Punita KavetiWonderful New Cardiologist in Fleming Island

    Dr. Punita Kaveti is wonderful. Saw her today and she really takes the time with you and listens and explains thing so well.

    Wonderful New Cardiologist Fleming Island
  • Dinesh Pubbi, MDOutstanding physician and human being! My husband was reluctant to switch to Dr. Dinesh Pubbi’s practice. Now, he is extremely thankful that he did!!!!! Dr. Pubbi has seen him through CHF, kidney failure, and arrhythmia. Dr. Pubbi performed an ablation and my Hubby is feeling great! Dr. Pubbi also takes care of my Mom and my sister. I am very thankful for this man. He has been a Godsend to our family!


    Outstanding Physician and Human Being
  • Neil Sanghvi, MDSt. Augustine EP Doctor

    Dr. Neil Sanghvi was recommended to me by my cardiologist in Chicago. I will not change doctors and hope he never moves! I trust him, test results are explained in a way that are easy to understand. His office is easy to work with, consultations, questions with PA’S, changing appointments, its all easy.

    St. Augustine EP Doctor
  • Dr. Vincent Caracciolo is an amazing Cardiologist in St. Augustine. His notes for each visit not only reflect the concerns I’ve shared with him as his patient (meaning he listens to me!), but his professional opinion/recommendations and our treatment plan are all so well documented! He takes time to explain what is happening with regard to my heart and my medications, as well as the purpose they serve. He’s empathetic about the emotional impact my heart attack has made on me and does not minimize that just because it happened almost 6 years ago (to me, it’s like it happened yesterday and I’m still scared).

    I’ve already recommended several people to Dr. Caracciolo. and will continue to do so. I don’t know how he does amazing so well, but he does!! I am extremely thankful to have found him. After having experienced a life-threatening event, such as my heart attack (‘widow-maker’ 100% occlusion in LAD), trust and confidence in my doctor is paramount. I’ve struggled for two years transitioning my medical to Florida and Dr. Caracciolo. has been nothing short of awesome, from the first day I met him up to my last visit. He brings his ‘A’ game every time. I trust him and I believe in him.

    Amazing Cardiologist in St. Augustine
  • Dr. Van Crisco put a successful stent in my heart after other doctor’s said it couldn’t be done! He is the best you can get for heart surgeries. Very straight forward, thorough and reassuring.

    Best for Heart Surgeries
  • Dr. Gayle MartinGreat Cardiologist in Fleming Island

    Dr. Gayle Martin is caring and did an excellent examination. She did a complete review of my medical history. She had answers to all my questions. Dr. Martin is a true pro with lots of experience. GREAT CARDIOLOGIST!

    Great Cardiologist in Fleming Island
  • Michael Koren MDDr. Michael Koren is the BEST Cardiologist you can have. He’s compassionate about his patients. He treats all his patients with the same Love, Care, Kindness, Respect, and, PASSION!!! Most Doctors don’t listen to you, the way you want them to, but Dr. Koren Listens to Every Single Word You Say! He will fix your problem if it takes him a lifetime. EXTREMELY PATIENT and THOROUGH! I’ve been with Dr. Koren since 2004, and he is still the same. I CAN HONESTLY SAY HE IS THE BEST!!! HE CARES ABOUT HIS PATIENTS!!! TRULY CARES!

    Best Cardiologist
  • Dr. Van Crisco and Dr. Christopher EdwardsDr. Christopher Edwards is a caring cardiologist. At my initial visit he took the time to hear me, to understand my concerns, he was instrumental in catching a blockage and treatment plan was put into effect. Dr. Van Crisco performed my surgery. Best team of doctors ever.

    Caring Cardiologist
  • Dr. David GrechDr. David Grech is simply an outstanding Cardiologist. Great bedside manner, and easy to talk with. He helps you understand everything, is able to communicate well, and a great Health Partner! I’ve worked in health care for 35 years, and would highly recommend Dr. Grech!

    Outstanding Cardiologist
  • Dr. Kevin Hayes, DODr. Kevin Hayes is a wonderful Cardiologist; he makes you feel calm he also explains everything he does yo you so you have full understanding. His staff is also friendly and very helpful very knowledgeable of everything.

    Wonderful Cardiologist
  • Excellent Cardiologist in St. Augustine

    Dr. Vincent Caracciolo is very personable. He seems to be very understanding and compassionate about his profession as a Cardiologist. I recently had open heart surgery for mitral valve prolapse and he was thorough and helpful in assisting me to make this life changing decision. I am sure to recommend Dr Caracciolo (Dr. C) to anyone who would be looking for an excellent Cardiologist.

    Excellent Cardiologist in St. Augustine
  • Neil Sanghvi, MDEP Cardiologist

    After moving to the Jacksonville area, I needed to find a new cardiologist who specialized in electrophysiology. After researching cardiologists on line, 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. I would recommend him to my friends and family.

    EP cardiologist
  • Dinesh Pubbi, MDDr. Dinesh Pubbi is the best! He is so good when I started seeing him in 2008 my heart was pumping only at 24% now he has it at 42% I’m feeling better then I I have in a long time. He is the best thank you for all you have done and doing for me and my family.

    Dr. Dinesh Pubbi is the best!
  • Best Cardiologist in Northeast Florida

    Michael Koren MDDr. Michael Koren and Margaret Gannaway, ARNP are the best in Northeast Florida. Been with them for 20 years and travel about 40 miles one-way to see them. Would not think of changing to a doctor closer to my home.

    Best Cardiologist in Northeast Florida
  • Van Crisco, MDFirst, let me say that Dr. Van Crisco is the best of the best. Very straightforward, thorough and reassuring. I also wanted to say that Tiffany in the Palm Coast office gave me a Nuclear Stress Test and she was awesome. She made the test so easy and stress-free, I would go back to her again. Great job Tiffany and thank you, Dr. Crisco.

    The best of the best

First Coast Heart & Vascular Center in Jacksonville, Florida, proudly serves patients in Northeast Florida counties (Duval, Clay, St. Johns, Flagler) and the following cities: Jacksonville, Jax, Jacksonville Beach, Neptune Beach, Atlantic Beach, Mayport, Ponte Vedra Beach, Nocatee, Vilano Beach, St. Johns, Flagler Beach, Fernandina Beach, Amelia Island, St. Augustine, St. Augustine Beach, Golf World, Orange Park, Hilliard, Yulee, Callahan, Macclenny, Baldwin Middleburg, Keystone Heights, Green Cove Springs, Palatka, Palm Coast, Daytona, Gainesville, and Lake City.