The road markings, specifically the yellow line on the left and white on the right, indicate driving on the right side of the road, typical of the United States. The green highway signage style is distinctly American, and the specific shape of the exit sign points towards a major interstate. The vegetation and the concrete overpass structure are consistent with the humid, subtropical climate of the Gulf Coast or Florida. I suspect this is in Florida, likely near a major city like Jacksonville given the sign text. I am moderately sure of this location.

then: forward

The highway sign clearly points toward "UM / Jackson VA Hospitals" and "Exit 3A," confirming this is in Miami, Florida. The "UM" refers to the University of Miami, and the Jackson Memorial Hospital complex is a major landmark in the city. The infrastructure and signage style are consistent with the Florida Department of Transportation standards. I am very certain this is in Miami, Florida.

then: guess