| Middle River to Piazza Armerina | 4,690.61 mi (7,548.81 km) |
| Middle River to Piazzola sul Brenta | 4,283.53 mi (6,893.67 km) |
| Middle River to Pietrasanta | 4,269.94 mi (6,871.81 km) |
| Middle River to Pieve di Soligo | 4,288.72 mi (6,902.03 km) |
| Middle River to Pinerolo | 4,113.60 mi (6,620.20 km) |
| Middle River to Pioltello | 4,180.85 mi (6,728.43 km) |
| Middle River to Piombino | 4,317.25 mi (6,947.95 km) |
| Middle River to Piombino Dese | 4,290.86 mi (6,905.47 km) |
| Middle River to Piossasco | 4,116.12 mi (6,624.26 km) |
| Middle River to Piove di Sacco | 4,302.88 mi (6,924.82 km) |
| Middle River to Pisa | 4,285.51 mi (6,896.86 km) |
| Middle River to Pisticci | 4,674.56 mi (7,522.98 km) |
| Middle River to Pistoia | 4,300.73 mi (6,921.35 km) |
| Middle River to Pizzo | 4,720.59 mi (7,597.06 km) |
| Middle River to Podenzano | 4,213.66 mi (6,781.23 km) |
