| Middle Island to Potenza Picena | 4,225.52 mi (6,800.31 km) |
| Middle Island to Pozzallo | 4,525.16 mi (7,282.54 km) |
| Middle Island to Pozzuoli | 4,338.76 mi (6,982.56 km) |
| Middle Island to Prato | 4,098.48 mi (6,595.86 km) |
| Middle Island to Preganziol | 4,089.98 mi (6,582.19 km) |
| Middle Island to Priolo Gargallo | 4,523.79 mi (7,280.34 km) |
| Middle Island to Priverno | 4,273.86 mi (6,878.12 km) |
| Middle Island to Pulsano | 4,497.63 mi (7,238.24 km) |
| Middle Island to Putignano | 4,469.67 mi (7,193.24 km) |
| Middle Island to Qualiano | 4,336.58 mi (6,979.05 km) |
| Middle Island to Quarrata | 4,094.66 mi (6,589.72 km) |
| Middle Island to Quartu Sant'Elena | 4,171.87 mi (6,713.97 km) |
| Middle Island to Quartucciu | 4,171.10 mi (6,712.74 km) |
| Middle Island to Quattro Castella | 4,046.18 mi (6,511.69 km) |
| Middle Island to Quinto di Treviso | 4,085.50 mi (6,574.97 km) |
