| Middelkerke to Paola | 1,035.69 mi (1,666.78 km) |
| Middelkerke to Parabiago | 479.48 mi (771.65 km) |
| Middelkerke to Parabita | 1,063.39 mi (1,711.36 km) |
| Middelkerke to Parma | 560.69 mi (902.35 km) |
| Middelkerke to Partanna | 1,051.79 mi (1,692.69 km) |
| Middelkerke to Partinico | 1,036.98 mi (1,668.85 km) |
| Middelkerke to Pasian di Prato | 591.28 mi (951.57 km) |
| Middelkerke to Paterno | 1,110.91 mi (1,787.83 km) |
| Middelkerke to Patti | 1,077.97 mi (1,734.83 km) |
| Middelkerke to Paullo | 499.89 mi (804.49 km) |
| Middelkerke to Pavia | 506.55 mi (815.22 km) |
| Middelkerke to Pavullo nel Frignano | 601.50 mi (968.02 km) |
| Middelkerke to Pedara | 1,112.22 mi (1,789.95 km) |
| Middelkerke to Pellezzano | 919.95 mi (1,480.52 km) |
| Middelkerke to Penne | 797.96 mi (1,284.19 km) |
