Meet our Vascular Surgery team.
Our vascular surgery team brings together experienced surgeons and advanced practice providers who specialize in diagnosing and treating a wide range of vascular conditions. From aortic aneurysms and peripheral arterial disease (PAD) to carotid artery disease and deep vein thrombosis (DVT), our team offers personalized treatment options, including minimally invasive procedures and advanced surgical care.

Aashish P. Gupta, MD
Vascular Surgeon
Board Certified
Cape Canaveral Medical Office Building
699 W. Cocoa Beach Cswy.
Suite 202
Cocoa Beach, FL 32931
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
Aashish P. Gupta, MD, is a Health First vascular surgeon providing specialized vascular care to patients throughout Brevard County, Florida. He diagnoses and treats a range of vascular conditions, including peripheral arterial disease, aneurysms and cerebrovascular disease.
His special focuses include:
- Cerebrovascular disease
- Peripheral arterial disease
- Aneurysm disease
- Dialysis access
- Venous disease
- Mesenteric disease

Manuel Perez-Izquierdo, MD
Vascular Surgeon
FACS, Board Certified
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
Health First Medical Group - Malabar
1421 Malabar Road
Suite 201
Palm Bay, FL 32907
Manuel Perez-Izquierdo, MD, is a Health First vascular surgeon providing advanced vascular care to patients throughout Brevard County, Florida. He specializes in minimally invasive endovascular treatments for conditions including cerebrovascular disease, peripheral arterial disease (PAD), complex aortic disease, aneurysms and venous disorders. His expertise also includes preventive vascular care, advanced dialysis access and complex interventions, mesenteric vascular disease, varicose vein treatment and carotid baroreceptor stimulation.
His special focuses include:
- Advanced endovascular therapies.
- Cerebrovascular disease.
- Peripheral Arterial Disease (PAD).
- Vascular medicine and preventive vascular care.
- Complex aortic disease and aneurysm repair.
- Advanced dialysis access and complex dialysis interventions.
- Venous diseases and varicose vein treatment.
- Mesenteric vascular disease.
- Carotid baroreceptor stimulator.

David Varnagy, MD
Vascular Surgeon
RVT, FACS, Board Certified
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
David Varnagy, MD, is a Health First vascular surgeon providing advanced vascular care to patients throughout Brevard County, Florida. He specializes in treating conditions such as cerebrovascular disease, peripheral arterial disease (PAD), complex aortic disease, aneurysms and venous disorders. His expertise also includes preventive vascular care, dialysis access and complex interventions, mesenteric vascular disease, varicose vein treatment, carotid barostimulation and vagus nerve stimulation for seizure disorders.
His special focuses include:
- Cerebrovascular disease.
- Peripheral arterial disease (PAD).
- Vascular medicine and preventive vascular care.
- Complex aortic disease and aneurysm repair.
- Advanced dialysis access and complex dialysis interventions.
- Venous diseases and varicose vein treatment.
- Mesenteric vascular disease.
- Carotid baro stimulator.
- Vagal nerve stimulator for seizure disorder.

Brittany Peeler, APRN
Nurse Practitioner in Vascular Surgery
Cape Canaveral Medical Office Building
699 W. Cocoa Beach Cswy.
Suite 202
Cocoa Beach, FL 32931
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
Brittany Peeler, APRN, is a Health First advanced practice registered nurse who cares for patients with vascular conditions, including peripheral arterial disease, carotid artery disease, venous disease and abdominal aortic aneurysms. She also helps patients with dialysis access needs in Brevard County, Florida.
Her special focuses include:
- Peripheral arterial disease.
- Venous disease.
- Carotid artery disease.
- Abdominal aortic aneurysms.
- Dialysis access for ESRD.

Stacey Joyner, APRN
Nurse Practitioner in Vascular Surgery
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
Stacey Joyner, APRN-C, is a Health First advanced practice registered nurse who cares for patients with vascular conditions, including abdominal aortic aneurysms, carotid artery disease, peripheral arterial disease, varicose veins and venous insufficiency. She also provides hemodialysis access evaluations and assists vascular surgeons during surgical procedures in Brevard County, Florida.
Her special focuses include:
- Abdominal Aortic Aneurysm (AAA).
- Carotid artery disease.
- Hemodialysis access evaluation.
- Peripheral arterial disease.
- Varicose veins.
- Venous insufficiency.
*Assists in all intraoperative procedures with surgeon.