There are also a few doctors in Italy who are authorized to issue FAA medical certificates.
There used to be more, but now there are only two in Italy:
FREILICH, WILLIAM, AMERICAN-INTL MED CTR, VIA MERCALLI #11, MILANO, +39258319808
VAN DOORNE, DOMINIQUE, 26A PIAZZA STEFANO JACINI, ROMA, +3906329076