| Middelkerke to Pergine Valsugana | 521.61 mi (839.45 km) |
| Middelkerke to Perugia | 715.23 mi (1,151.05 km) |
| Middelkerke to Pesaro | 686.66 mi (1,105.07 km) |
| Middelkerke to Pescantina | 539.58 mi (868.37 km) |
| Middelkerke to Pescara | 806.39 mi (1,297.75 km) |
| Middelkerke to Peschiera del Garda | 536.42 mi (863.29 km) |
| Middelkerke to Pescia | 622.11 mi (1,001.19 km) |
| Middelkerke to Petilia Policastro | 1,072.46 mi (1,725.96 km) |
| Middelkerke to Piacenza | 529.03 mi (851.40 km) |
| Middelkerke to Pianella | 804.82 mi (1,295.23 km) |
| Middelkerke to Pianezza | 472.88 mi (761.03 km) |
| Middelkerke to Pianiga | 577.79 mi (929.87 km) |
| Middelkerke to Piano di Sorrento | 915.32 mi (1,473.07 km) |
| Middelkerke to Pianoro | 613.24 mi (986.92 km) |
| Middelkerke to Piazza Armerina | 1,108.57 mi (1,784.07 km) |
