| Middle Valley to Piazza Armerina | 5,250.81 mi (8,450.37 km) |
| Middle Valley to Piazzola sul Brenta | 4,837.24 mi (7,784.79 km) |
| Middle Valley to Pietrasanta | 4,826.57 mi (7,767.62 km) |
| Middle Valley to Pieve di Soligo | 4,841.66 mi (7,791.90 km) |
| Middle Valley to Pinerolo | 4,670.43 mi (7,516.33 km) |
| Middle Valley to Pioltello | 4,735.96 mi (7,621.79 km) |
| Middle Valley to Piombino | 4,874.84 mi (7,845.29 km) |
| Middle Valley to Piombino Dese | 4,844.32 mi (7,796.19 km) |
| Middle Valley to Piossasco | 4,672.77 mi (7,520.10 km) |
| Middle Valley to Piove di Sacco | 4,856.78 mi (7,816.23 km) |
| Middle Valley to Pisa | 4,842.31 mi (7,792.95 km) |
| Middle Valley to Pisticci | 5,231.89 mi (8,419.92 km) |
| Middle Valley to Pistoia | 4,857.04 mi (7,816.65 km) |
| Middle Valley to Pizzo | 5,279.48 mi (8,496.50 km) |
| Middle Valley to Podenzano | 4,769.32 mi (7,675.48 km) |
