| Middle Island to Amelia | 4,201.76 mi (6,762.08 km) |
| Middle Island to Anagni | 4,262.92 mi (6,860.50 km) |
| Middle Island to Ancona | 4,212.44 mi (6,779.27 km) |
| Middle Island to Andria | 4,420.17 mi (7,113.58 km) |
| Middle Island to Angri | 4,361.77 mi (7,019.59 km) |
| Middle Island to Anguillara Sabazia | 4,211.47 mi (6,777.71 km) |
| Middle Island to Anzio | 4,249.94 mi (6,839.62 km) |
| Middle Island to Anzola dell'Emilia | 4,080.53 mi (6,566.98 km) |
| Middle Island to Aosta | 3,875.02 mi (6,236.24 km) |
| Middle Island to Apricena | 4,361.94 mi (7,019.86 km) |
| Middle Island to Aprilia | 4,246.07 mi (6,833.40 km) |
| Middle Island to Aradeo | 4,541.57 mi (7,308.95 km) |
| Middle Island to Aragona | 4,443.07 mi (7,150.43 km) |
| Middle Island to Arco | 4,022.30 mi (6,473.27 km) |
| Middle Island to Arcola | 4,038.48 mi (6,499.30 km) |
