Any Poisson manifold $(M,P)$ admits a symplectic realisation $\pi : (S,\omega) \to (M,P)$ as defined above; this is Theorem 2 in this nice paper by Crainic and Marcut, generalising Weinstein's local existence argument. Their method does not construct all possible symplectic realisations, but just the one which comes from the local symplectic groupoid integrating the Lie algebroid associated to the Poisson structure (cf. @user40276's comment). In some sense, this is distinguished among all symplectic realisations because it comes from the (local!) symplectic Weinstein groupoid associated to the Poisson structure.
In general, a fixed Poisson manifold $(M,P)$ may admit several distinct symplectic realisations, e.g. the dimension of the symplectic manifold may vary. One useful way of looking at symplectic realisations comes from the work of Crainic and Fernandes. Any symplectic realisation $\pi : (S,\omega) \to (M,P)$ comes equipped with an action of the Lie algebroid $T^* M \to M$ associated to $(M,P)$ (cf. Step 1 in the proof of Theorem 8 of this great paper). In some sense, symplectic realisations of $(M,P)$ play the role of representations for this Lie algebroid (WARNING: this is not related to the notion of representation of Lie algebroids in the sense of, say, this MathOverflow question). For instance, a complete symplectic realisation $\pi : (S,\omega) \to (M,P)$, i.e. for any compactly supported $f \in C^{\infty}(P)$ the Hamiltonian vector field $X_{\pi^*f}$ is complete, plays the role of a faithful representation and allows to prove that $(M,P)$ is integrable, in analogy with the proof of Lie's third theorem using Ado's theorem (cf. Theorem 8 of the aforementioned paper by Crainic and Fernandes).
To conclude, I am not aware of a notion of equivalence of symplectic realisations for general Poisson manifolds. There is, however, a notable exception: if $(M,P)$ is integrable, then there is a notion of self Morita equivalence of $(M,P)$ which involves symplectic realisations with whose total spaces are the same. This gives rise to the Picard group of $(M,P)$ studied in detail in this recent paper. Not sure, however, if this goes in the direction the OP wanted.