| Middle Island to Pachino | 4,537.32 mi (7,302.11 km) |
| Middle Island to Paderno Dugnano | 3,959.99 mi (6,372.99 km) |
| Middle Island to Padova | 4,081.29 mi (6,568.20 km) |
| Middle Island to Paese | 4,084.24 mi (6,572.94 km) |
| Middle Island to Palagiano | 4,476.86 mi (7,204.81 km) |
| Middle Island to Palagonia | 4,497.58 mi (7,238.16 km) |
| Middle Island to Palazzolo Acreide | 4,514.99 mi (7,266.17 km) |
| Middle Island to Palermo | 4,404.48 mi (7,088.32 km) |
| Middle Island to Palestrina | 4,248.27 mi (6,836.93 km) |
| Middle Island to Pallazzolo sull'Oglio | 3,989.77 mi (6,420.92 km) |
| Middle Island to Palma Campania | 4,356.13 mi (7,010.51 km) |
| Middle Island to Palma di Montechiaro | 4,457.74 mi (7,174.03 km) |
| Middle Island to Palmi | 4,508.00 mi (7,254.93 km) |
| Middle Island to Palo del Colle | 4,443.91 mi (7,151.78 km) |
| Middle Island to Palombara Sabina | 4,234.13 mi (6,814.17 km) |
