| Middle River to Potenza Picena | 4,437.19 mi (7,140.97 km) |
| Middle River to Pozzallo | 4,737.64 mi (7,624.49 km) |
| Middle River to Pozzuoli | 4,550.99 mi (7,324.12 km) |
| Middle River to Prato | 4,310.31 mi (6,936.78 km) |
| Middle River to Preganziol | 4,301.03 mi (6,921.84 km) |
| Middle River to Priolo Gargallo | 4,736.28 mi (7,622.31 km) |
| Middle River to Priverno | 4,486.06 mi (7,219.62 km) |
| Middle River to Pulsano | 4,709.64 mi (7,579.43 km) |
| Middle River to Putignano | 4,681.59 mi (7,534.29 km) |
| Middle River to Qualiano | 4,548.79 mi (7,320.57 km) |
| Middle River to Quarrata | 4,306.52 mi (6,930.67 km) |
| Middle River to Quartu Sant'Elena | 4,384.33 mi (7,055.90 km) |
| Middle River to Quartucciu | 4,383.57 mi (7,054.67 km) |
| Middle River to Quattro Castella | 4,257.86 mi (6,852.36 km) |
| Middle River to Quinto di Treviso | 4,296.54 mi (6,914.61 km) |
