| Middle River to Pachino | 4,749.80 mi (7,644.07 km) |
| Middle River to Paderno Dugnano | 4,171.51 mi (6,713.40 km) |
| Middle River to Padova | 4,292.48 mi (6,908.08 km) |
| Middle River to Paese | 4,295.27 mi (6,912.57 km) |
| Middle River to Palagiano | 4,688.86 mi (7,545.99 km) |
| Middle River to Palagonia | 4,710.07 mi (7,580.13 km) |
| Middle River to Palazzolo Acreide | 4,727.48 mi (7,608.14 km) |
| Middle River to Palermo | 4,616.97 mi (7,430.30 km) |
| Middle River to Palestrina | 4,460.42 mi (7,178.35 km) |
| Middle River to Pallazzolo sull'Oglio | 4,201.19 mi (6,761.15 km) |
| Middle River to Palma Campania | 4,568.32 mi (7,352.00 km) |
| Middle River to Palma di Montechiaro | 4,670.21 mi (7,515.98 km) |
| Middle River to Palmi | 4,720.43 mi (7,596.81 km) |
| Middle River to Palo del Colle | 4,655.83 mi (7,492.84 km) |
| Middle River to Palombara Sabina | 4,446.24 mi (7,155.53 km) |
