West of US 19-98, CR 40 is named "Follow That Dream Boulevard" for the 1962 movie starring Elvis Presley.
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Near Lake Okeechobee, it follows the northern and eastern shore toward Belle Glade.
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Throughout most of the Florida Peninsula, the road is marked as a north–south road, but directions return to east-west on the northeast shore of Lake Okeechobee.
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It currently runs for 151 miles (243 km) from Montgomery, Alabama at U.S. Route 80 and U.S. Route 82 to Santa Rosa Beach, Florida east of Fort Walton Beach at U.S. Route 98.