| Middle Island to Pandino | 3,981.83 mi (6,408.13 km) |
| Middle Island to Paola | 4,478.08 mi (7,206.78 km) |
| Middle Island to Parabiago | 3,950.88 mi (6,358.32 km) |
| Middle Island to Parabita | 4,544.79 mi (7,314.13 km) |
| Middle Island to Parma | 4,034.68 mi (6,493.19 km) |
| Middle Island to Partanna | 4,397.28 mi (7,076.74 km) |
| Middle Island to Partinico | 4,395.74 mi (7,074.25 km) |
| Middle Island to Pasian di Prato | 4,115.75 mi (6,623.66 km) |
| Middle Island to Paterno | 4,495.51 mi (7,234.83 km) |
| Middle Island to Patti | 4,476.65 mi (7,204.48 km) |
| Middle Island to Paullo | 3,974.84 mi (6,396.88 km) |
| Middle Island to Pavia | 3,971.61 mi (6,391.69 km) |
| Middle Island to Pavullo nel Frignano | 4,071.96 mi (6,553.19 km) |
| Middle Island to Pedara | 4,501.20 mi (7,243.98 km) |
| Middle Island to Pellezzano | 4,370.63 mi (7,033.85 km) |
