Meet our Vascular Surgery team.
We provide treatment for a variety of vascular conditions, including aortic aneurysms, peripheral arterial disease, carotid disease, and deep vein thrombosis.

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 specializing in the diagnosis and treatment of peripheral arterial disease, aneurysm disease and cerebrovascular disease in Brevard County, Florida.
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
Manuel Perez-Izquierdo, MD has many special focuses, including:
- 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
FACS, Board Certified
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
David Varnagy, MD has many special focuses, including:
- 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
Brittany Peeler, APRN has many special focuses, including:

Stacey Joyner, APRN
Nurse Practitioner in Vascular Surgery
Health First Medical Group - Gateway
1223 Gateway Drive
Suite 2C
Melbourne, FL 32901
Aashish P. Gupta, MD, is a Health First vascular surgeon specializing in the diagnosis and treatment of peripheral arterial disease, aneurysm disease and cerebrovascular disease in Brevard County, Florida.
His special focuses include:
- Cerebrovascular disease
- Peripheral arterial disease
- Aneurysm disease
- Dialysis access
- Venous disease
- Mesenteric disease