| Middelkerke to Piazzola sul Brenta | 566.00 mi (910.90 km) |
| Middelkerke to Pietrasanta | 606.94 mi (976.78 km) |
| Middelkerke to Pieve di Soligo | 562.32 mi (904.97 km) |
| Middelkerke to Pinerolo | 482.25 mi (776.11 km) |
| Middelkerke to Pioltello | 493.32 mi (793.92 km) |
| Middelkerke to Piombino | 674.72 mi (1,085.86 km) |
| Middelkerke to Piombino Dese | 570.06 mi (917.42 km) |
| Middelkerke to Piossasco | 478.42 mi (769.94 km) |
| Middelkerke to Piove di Sacco | 586.84 mi (944.43 km) |
| Middelkerke to Pisa | 625.13 mi (1,006.05 km) |
| Middelkerke to Pisticci | 994.08 mi (1,599.81 km) |
| Middelkerke to Pistoia | 626.55 mi (1,008.34 km) |
| Middelkerke to Pizzo | 1,076.25 mi (1,732.06 km) |
| Middelkerke to Podenzano | 534.30 mi (859.87 km) |
| Middelkerke to Poggibonsi | 659.85 mi (1,061.93 km) |
