| Middle Valley to Potenza Picena | 4,992.79 mi (8,035.12 km) |
| Middle Valley to Pozzallo | 5,297.99 mi (8,526.30 km) |
| Middle Valley to Pozzuoli | 5,109.03 mi (8,222.20 km) |
| Middle Valley to Prato | 4,866.60 mi (7,832.03 km) |
| Middle Valley to Preganziol | 4,854.36 mi (7,812.34 km) |
| Middle Valley to Priolo Gargallo | 5,296.39 mi (8,523.71 km) |
| Middle Valley to Priverno | 5,043.92 mi (8,117.41 km) |
| Middle Valley to Pulsano | 5,266.56 mi (8,475.72 km) |
| Middle Valley to Putignano | 5,238.16 mi (8,430.00 km) |
| Middle Valley to Qualiano | 5,106.74 mi (8,218.50 km) |
| Middle Valley to Quarrata | 4,862.90 mi (7,826.07 km) |
| Middle Valley to Quartu Sant'Elena | 4,944.80 mi (7,957.89 km) |
| Middle Valley to Quartucciu | 4,944.04 mi (7,956.66 km) |
| Middle Valley to Quattro Castella | 4,813.53 mi (7,746.63 km) |
| Middle Valley to Quinto di Treviso | 4,849.84 mi (7,805.06 km) |
