| Middelkerke to Paderno Dugnano | 484.71 mi (780.06 km) |
| Middelkerke to Padova | 576.09 mi (927.12 km) |
| Middelkerke to Paese | 572.25 mi (920.95 km) |
| Middelkerke to Palagiano | 999.08 mi (1,607.86 km) |
| Middelkerke to Palagonia | 1,121.30 mi (1,804.55 km) |
| Middelkerke to Palazzolo Acreide | 1,141.82 mi (1,837.59 km) |
| Middelkerke to Palermo | 1,038.71 mi (1,671.65 km) |
| Middelkerke to Palestrina | 802.96 mi (1,292.23 km) |
| Middelkerke to Pallazzolo sull'Oglio | 503.45 mi (810.22 km) |
| Middelkerke to Palma Campania | 905.95 mi (1,457.99 km) |
| Middelkerke to Palma di Montechiaro | 1,105.69 mi (1,779.43 km) |
| Middelkerke to Palmi | 1,088.67 mi (1,752.05 km) |
| Middelkerke to Palo del Colle | 962.44 mi (1,548.90 km) |
| Middelkerke to Palombara Sabina | 785.71 mi (1,264.48 km) |
| Middelkerke to Pandino | 505.01 mi (812.73 km) |
